Firm name:
Mailing Address:
City: State: Zip Code:
Country:
Phone Number:
Email Address:
Sales tax Exemption Number:
I am engaged in the business of:
Product(s) of Interest:
All merchandise which I (we) shall purchase from the exhibitors in GLOBEX GEM SHOW is: for resale in its original form. to be made part of, or used in the production of a manufactured product to be sold at retail. other. Specify: