Please tell us about yourself and your company - this form requires Internet Explorer:
First Name:
Last Name:
Company:
Phone:
Company Website:
Email:
Billing Address:
Street:
City:
State:
Zip/Postal Code:
Mailing Address:
Street:
City:
State:
Zip/Postal Code:
Country:
Business Info:
Co. Type:		Sole Proprietor PartnerShip Corporation
Year opened:
Inc. date:
Officer's Name:
Officer's Title:
Where did you first hear about Cinemar?
Any specific questions you would like us to answer?
How will the software make it's way to the end user? Selling direct (software only), Integrator, as part of a complete hardware solution, etc.
Anticipated Installs per Year
Please tell us a little about you and your interest in becoming a Cinemar VAR. *In particular, where will you be advertising and promoting our products?
Are you an existing MainLobby Customer?		Yes No
If not, have you experimented with our trial version?		Yes No
STATE RESALE CERTIFICATE
I hereby certify: That I hold a valid sellers permit number in the state of for the company name listed above; I am engaged in the business of selling of tangible personal property; This certificate is for the purchase from Cinemar, Inc. of the item(s) I have listed in paragraph below; and I will resell the item(s) listed below, which I am purchasing under this resale certificate in the form of tangible personal property in the regular course of my business operations, and I will do so prior to making any use of the item(s) other than demonstration and display while holding the item(s) for sale in the regular course of my business. I understand that if I us the item(s) purchased under this certificate in any manner other than as just described, I will owe use tax based on each item’s purchase price or as otherwise provided by law. Description of property to be purchased for resale: Computer Systems, Software and Accessories I have read and understand the following: For Your Information: A person may be guilty of a misdemeanor under Revenue and Taxation Code section 6094.5 if the purchaser knows at the time of purchase that he or she will not resell the purchased item prior to any use (other than retention, demonstration, or display while holding it for resale) and he or she furnishes a resale certificate to avoid payment to the seller of an amount as tax. Additionally, a person misusing a resale certificate for personal gain or to evade the payment of tax is liable, for each purchase, for the tax that would have been due, plus a penalty of 10 percent of the tax or $500, whichever is more.