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.

Thanks for getting in touch!

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

Have a great day!

Thanks for getting in touch!

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

Have a great day!

]AREMDE[

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