Request to Become an Authorized Lake George Chart Vendor

STEP ONE: Complete the required fields of this form.

STEP TWO: Once the form has been completed, Click the PRINT NOW button.

STEP THREE: Sign the form on the Authorized Signature Line provided.

STEP FOUR: Make a photocopy to submit with this form of the businesses NYS Taxation and Finance Sales Tax Authority Certificate.

STEP FIVE: Mail the completed and signed form together with photocopy of the Tax Authority Certificate to the Squadron address listed below.

Order Contact Details
First Name: *
Last Name: *
Company: *
Billing Address
First Name: *
Last Name: *
Email *
Country: *
Address: *
City: *

State:

*
Postal Code: *
Shipping Address
Country: *
Address: *
City: *

State:

*
Postal Code: *
Phone: *
Fax:

NYS Tax Department Identification Number/Employer Identification Number
NYS Tax ID Number/EIN: *
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