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:

Province:

Postal Code:
Shipping Address
Country:
Address:
City:

Province:

Postal Code:
Phone:
Fax:

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