Member Registration - Alamo Fiesta

Please Choose Account Type: Retail or Wholesale

RETAIL

WHOLESALE What is Wholesale? [|||]

First Name:

Last Name:

Email Address (User Name):

Example: name@yahoo.com

Confirm Your Email:

Case sensitive

Password:

Company / Institution Name:

Must match: Tax Exempt / Wholesale / Net-30

Telephone #:

Telephone # (2):

Telephone # (3):

Telephone # (4):

Fax Number:

Bill To Address:	Example: 105 Main Street
	Apt. or Suite #

City:

State/Province/Region:

— or —

Not in the United States or Canada? Enter your province or region into the text field above.

Zip Code:

If you do not have a Zip Code, please put “NONE”

Country:

Tax Exempt Section: (Not Required - If filled, please add "Institution Name" above. Verification of information is required so please submit order with taxes (we will check exemption while processing order). Taxes will be refunded before payment is processed and after tax status is verified.

Only customers shipping within the State of Texas and eligible for tax exempt status by the State of Texas will be able to purchase Tax Exempt. Tax I.D. Number and Company / Institution name must match above registration information. Your order will be delayed or criminal tax penalties will be issued to you by the Texas Government if status is found incorrect or untrue. All customers shipping outside the State of Texas will automatically be tax exempt.
All potential wholesale clients require to fill this section out. If not in Texas, please upload the most current State's Resale License Certificate issued to you or your company. Tax I.D. Number and Company / Institution name must match above registration information. Your order will be delayed or criminal tax penalties will be issued to you by the Texas Government if status is found incorrect or untrue.
	Tax ID#:

Tax Exempt Agreement: I have read and have understood all of these terms and conditions.

Attach Tax Exempt Certificate:

Download From Here Upload Certificate Here ->

Charge Account Section: (Not Required - Only for businesses with "Accounts Receivable" department.)

Only Customers applying to open a charge account with us with Net-30 Terms. Company / Institution Name must match above registration information. (Approval Required)

Net-30 Agreement: I have read and have understood all of these terms and conditions.

Attach Charge Account Form Download From Here Upload Form Here -->