PO Box 5784, Shasta Lake, CA 96089
Tel: (530) 339-8892

Vendors Form

Vendor Form

* (required)

* Vendors Name: Name of person that makes purchasing decisions
* Business: Name of Business
* Address: Mailing address for your Business
* City: City the Business located in
* State: State the Business located in
* Zip: Zip the Business located in
* Phone: Phone Number of Business
* Email Address: Email address of Business
* Resale Number: Resale Number as on the California Resale Certificate

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