DESIGNER and BUILDING TRADE REGISTRATION

The undersigned hereby certifies that all tangible personal property purchased by the person, company or authorized agent, from Eron Johnson Antiques, Ltd., is for the purpose of resale. The undersigned thereby assumes all responsibility and liability for collection and payment of any and all applicable taxes with respect to receipts from the resale of such property to other users and/or consumers.

To activate this registration, the undersigned agrees to submit a copy of their resale license. This registration shall continue in full force until revoked by written notice from the undersigned.


Name:
Title:
Company:
Address:
Town/City:
State:
Country:
Zip Code:
E-mail:
Telephone:
Fax:
Resale #:

Please indicate whether you would like to receive your designer package by:

E-mail:
Mail:
Fax:

Please send this page and mail/fax a copy of your resale license. We will forward a designer package to you outlining price discounts once we receive this form.