Legal Entity

Legal Name Of Business *

Location Name (if different) *

Billing Address

Billing Address Line 1 *

Suite #/Department/Floor *

City, State, Zip *

Accounts Payable

Accounts Payable Point of Contact *

Phone Number *

Email *

Shipping Address

Ship-To Address/ Location Address *

Suite #/Department/Floor *

City, State, Zip *

Phone *

Email *

Franchise / Owner

Owner/Franchisee *

Phone *

Email *

Owner/Franchisee 2

Phone

Manager/ Point of Contact *

Point of Contact for product orders (if different)

Upload Your Texas Sales and Use Tax Resale Certificate *

Choose file or drag here

Supported format: JPG, JPEG, PNG.

In order to qualify for tax exemption on applicable purchases, please fill out the Texas Sales and Use Resale Certificate exemption form. If you need a Texas Sales & Use Tax form, you can download it by clicking here.

Please Sign Below *

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By signing and submitting this form, you are assuring Geva Coffee the above information is correct and completed to the best of your ability.

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We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

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