s1-05_sales_tax_form

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					Sales Tax Exemption Application
Please print all information clearly.

To be approved for a tax exemption purchasing card, complete this form, attach a copy of your tax-exemption certificate and mail in this postage-paid envelope or fax to (678) 397-0678. The documentation will be verified and once the application is approved, your permanent card should arrive by mail in approximately two weeks.

FOR OFFICE USE ONLY Store#
Month Today’s Date Day
Year

/

/
Last Name

ORIGINAL INFORMATION (please print clearly) First Name
Company Name

Company Address

City

State

Zip

Telephone Number

Email Address

NEW INFORMATION FOR EXISTING OFFICE DEPOT TAX EXEMPTION CUSTOMER Existing Customer ID

First Name Company Name

Last Name

Company Address

City

State

Zip

Telephone Number

Email Address

TAX INFORMATION
N ❏ Nonprofit organization R ❏ Resale G ❏ Governmental

A COPY OF YOUR TAX-EXEMPTION CERTIFICATE MUST BE ATTACHED. (If you have questions, please contact 1-800-848-8100)

BUSINESS TYPE (check one box)

❏ Bank/Finance (FTC) (60) ❏ Consulting/Data ❏ Communications (48) Processing/Advertising/

❏ Education (82) ❏ Manufacturing (20) ❏ Nonprofit (86) ❏ Printing/Publishing (27) ❏ Government (91) ❏ Medical/Hospital (80) ❏ Other (00) ❏ Retailer (52) Marketing (73) ❏ Social Services (83) Office Depot may use your contact information to send you special notices, promotional offers and catalogs. If you do not wish to receive this information, please let us know by contacting us in one of the following ways: by phone at 1-800-915-4624, by mail at: Office Depot Mailing List, P.O. Box 5009, ❏ Wholesaler (50)
Boca Raton, Florida 33431-0809 or by email at: mailoptout@officedepot.com. Please provide your name, company name and complete address.


				
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posted:3/26/2009
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