Viz Gallery - InterWorks

Tax Information

Sales tax will be added to invoices for shipments into Alabama, Arizona, Arkansas, California, Colorado, Connecticut, DC, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, West Virginia and Wisconsin unless customer is either a reseller or sales tax exempt. Please submit exemption forms to ar@interworks.com for review.

Is customer a reseller?*

Yes
No

File upload*

Drop files here or

Accepted file types: jpg, png, gif, pdf, Max. file size: 100 MB.

Please provide a resale certificate for each applicable state. (Seller's permit does not meet requirement for deferring sales tax.)

Is customer tax exempt?*

Yes
No

File upload*

Drop files here or

Accepted file types: jpg, png, gif, pdf, Max. file size: 100 MB.

Please provide tax exempt status document

Do you require a purchase order?*

Yes
No

Do you require any documents from InterWorks?

W-9
Certificate of Insurance
Other

Payment Options

Select One*

Credit Card
Check
Electronic Fund Transfer

Other Information

Do you have any other information that you think might be helpful?

Terms

Due Upon Receipt (unless other arrangements have been made). Past Due Accounts may be subject to a late payment charge of 2% or $15 per month. The applicant agrees to pay any reasonable collection costs and legal fees. Additionally, the applicant agrees that this agreement shall be construed under and enforced in accordance with the laws of the State of Oklahoma and that any action commenced hereunder shall be venued in Payne County. InterWorks may terminate any credit availability within its sole discretion. The undersigned agrees to the above terms and authorizes InterWorks to utilize any outside credit reporting services to obtain information on the applicant and certifies that all the above information is true and correct.

Name*

First Last

Title*

Date*

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