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Willy's Electronics Wholesale Account Form:

Please accompany your request for a Wholesale account with your opening order by fax at 619-477-2789 or placing your order online (please list that you have a pending wholesale request for wholesale to be applied to your order).

Company Name
Address:
Address (Line 2):
City:
State:
Zip Code:
Contact Name:
Phone Number:
Fax Number:
Email Address:
Type of business:

We can also setup your account over the phone: Call (888) 294-5597

*Please allow 1-2 business days for the account to be set-up and your password emailed back to you

Willys Electronic Supply Co., Inc.

**Wholesale customers receive special pricing which will be shown after logging in to your account

****If you plan on making purchases for resale in the State of California you will also need to fill out and fax back the following California Resale Certificate to 619-477-2789: 

  

CALIFORNIA RESALE CERTIFICATE

Company Name


 Complete address / City / State / Zip


I HEREBY CERTIFY: That I hold valid seller’s permit Number.

issued pursuant to the Sales and Use Tax Law; That
I am engaged in the business of selling:

that the tangible personal property described herein which I shall purchase from Willy's Electronic Supply Company Incorporated will be resold by me in the form of tangible personal property; provided, however, that in the event any of such property is used for any purpose other than retention, demonstration, or display while holding it for sale in the regular course of business. It is understood that I am required by the Sales and Use Tax Law to report and pay tax, measured by the purchase price of such property or other authorized amount.

Description of property to be purchased
(Be sure to specifically list tools, chemicals or any other commodity item that you plan on purchasing for resale as well as electronic parts & related equipment):




Telephone Number:

              FAX Number:

Date: ___________________, 200___

_____________________________________
(Signature of Purchaser or Authorized Agent)


(Typed Name of above signature)


(Title)


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