Beadfreak Resale Application
This form and ONE of the following must be completed or attached:

1) Copy of NC Merchants Certificate of Registration / or out-of-state equivalent
          (we can make a copy for you if you brought your original).
  OR
2) Completed and signed Form E-595E.
 
If you have any questions or would like detailed instructions, we can provide additional form details.  Just ask!  
Today's Date:                  
Your Name                  
Business Name                  
Mailing Address                  
                 
                 
                 
Telephone # Day       Ext. Evening        
Email Address          
Please print clearly. Your e-mail address is our primary means of  communicating with you.
NC Sales and Use Tax Reg. #                
or out-of-state equivalent    
(please start with state abbreviation e.g. NY for New York)            
The following questions are optional, but may help us serve you better.
Please check all that apply:
I am currently interested in the following :
glass beads   semi-precious stone beads  
pearls   semi-precious stone cabs  
ribbons   gold findings  
seed beads   sterling findings  
myuki delicas   base metal findings  
vintage glass   bone/shell beads  
classes/workshops   books