Account - Firewood

1

Company Name* This field is required.Valid business license is required

2

Representative* This field is required.Person responsible for the account

First Name

Last Name

Position in Company

3

Billing Address* This field is required.

Street Address

City

State

Zip Code

Country

4

Delivery Address:Complete if delivery is different from billing address. If you have multiple locations include all needed information in the "Notes" section. Ex: Business name, address, placement of pallets ect.

Street Address

City

State / Province

Postal / Zip Code

Country

5

Billing E-mail:* This field is required.Invoices will be sent here

Invoices will be sent here

6

Phone:* This field is required.

Area Code

Phone Number

7

Upload a copy of business licenseOnly a valid BUSINESS LICENSE will be accepted. Knockout Services holds the right to refuse service if correct business license is not provided.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Business license required

8

Resale Tax Exempt* This field is required.If you are unsure what this is please visit the TN Dept of Revenue for information. A simple "Yes" will not exempt you from sales tax w/o a valid exemption certificate.

YES, Provide a valid copy of certificateNO

9

Upload a Valid Copy of Resale Tax ExemptionSales tax will be applied without valid copy of certificate. If you are unsure what this is please visit the TN Dept of Revenue for information.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Knockout holds the right to charge sales tax w/o proper exemption certificate.

11

Product* This field is required.Knockout will maintain a 2 week lead time. Please plan accordingly.

Camping Bundles: Non-certified, Kiln-dried

Bulk Firewood: Non-certified, Kiln-dried

*Certified Camping Bundles: USDA Certificate Provided(National/State Park approved)

*Bulk Firewood: USDA Certificate Provided(National/State Park approved)

Green Firewood - Not seasoned, Not kiln-dried

12

Does Knockout Firewood need to provide equipment to unload pallets of bundles?* This field is required.Additional fee may apply

Yes

No, customer has equipment capable of lifting 2,000+lbs

13

NotesAdditional information Knockout may need. If you have multiple locations a separate form will need to be submitted per location.

0/500

14

Signature* This field is required.By signing in the box it constitutes acceptance of and is intended to be an electronic signature for this form.

15

Terms and Conditions* This field is required.By checking the box you agree that you have read and understand the terms and conditions.

16

Date* This field is required.

Date

Hour

Minutes

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