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CHEF'STORE^® Card Application

Business, Government Agency Buying for Resale if applying for a business card

Mailings No Email Please

Business/Organization

Non-profit Tax ID Business / Organization Title First Name Last Name Email US Foods® Division Number

Phone Address City State/Province

Zipcode County US Foods® Customer Number

Registration The undersigned certifies he/she/they hold a valid UBI/Revenue Registration/Retail Certificate Number.

Registration or Retail Certificate #

Expires

Permit #

Expires

Beverage #

Expires

Cigarette #

Expires

Tobacco #

Expires

Is issued pursuant to all the applicable. Sales and Use Tax Laws; that the tangible personal property described herein which I shall purchase from CHEF'STORE® Warehouse Stores will be resold in the form of tangible personal property; PROVIDED, however, that in the event any such property is used for any purpose other than retention, demonstration or display while holding it for sale in the regular course of business, it is understood that i am required by the Sales and Use Laws to report and pay tax measured by the purchase price of such property.

Products for Resale

Auto and Hardware

Beverages (Non-Alcoholic)

Candy and Snacks

Film and Batteries

HABA

Ice, Ice Cream, Novelties

Institutional Foods

Lights

Packaging

Pesticides

Pet Supplies

Restaurant Supplies

Retail (Charcoal, Fluid and Jars)

Retail Paper

Stationary

Tobacco

Charcoal and Pellets

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