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2011 Matilda Street
Houston, Texas 77039
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Tax Exemption Form
If you are purchasing product that is sales tax exempt shipped to destinations in Texas, please fill out the Sales Tax Exemption certificate.

  Tax Exemption Form

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Simplify your buying experience with Bolts 'n Nuts Plus Online Credit application. There is no cost or obligation and your personal information is protected.

Online Credit Application
General Information
Company Name:    
Address:    
City:     State: Zip:  
Phone Number:   Fax Number:  

Billing
Preferred Method:  
Billing Address:    
City:     State: Zip:  
Billing Contact Name:   Email Address:  
Phone Number:   Fax Number:  

Shipping
Address:  
City:     State: Zip:  
Phone Number:   Fax Number:  

Company Information
Title Name
Officer1:      
Officer2:  

Authorized Buyers:     Accounts Payable Contact:  
Phone:  
Sales Tax Exemption # :  

Company Type:  
 (Specify):  

State Incorporated:  Year Incorporated:     Purchase Order # Required?   

Written?    Anticipated Monthly Purchase Volume:    


References
Trade Reference  Address  Phone#  Fax# 
1.
2.
3.
4.

Bank Reference  Address  Account#  Phone#  Fax# 
1.
2.

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Bolts 'n Nuts Plus
2011 Matilda Street
Houston, Texas 77039
P: 281-987-9876
info@boltsplus.com

Will Call Hours:
7 am to 5 pm CST Mon-Fri
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