New Customer Application Form

New Customer Registration

Register your business
User Information
Full Name:*

First NameLast Name
E-mail:*
example@example.com
Contact Phone Number:*
I agree to receive SMS/TEXT based on my data.
Company Information
Business Name:*
Company Address: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tax ID Number:*
Type of Business:*

RetailWholesaleBinstoreEcommerceNon ProfitWhatnotAuctionsOther
What types of merchandise are you interested in? Please select all that apply.*

General MerchandiseClothing & ApparelTools & HardwareFurnitureGroceryAppliancesHigh Piece CountOther
State Issued Resale Tax Certificate:

You must provide a state-sanctioned resale certificate that confirms your company's exemption from sales tax on purchases. Different states may label this as "Sales & Use Tax Certificate of Exemption," "Resale Exemption Certificate," "Certificate of Resale," and so forth. Be aware that Select Liquidation is not liable for any sales tax related to products your company sells to customers or to any businesses to which you resell the product.
Cancelof
The contract can be accessed by clicking the link provided above. Please take the time to read it, as it outlines the risks associated with purchasing liquidation merchandise.
I hereby attest to the accuracy of all information furnished and formally acknowledge my agreement to the terms and conditions delineated in the preceding agreement.

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New Customer Registration