Badge Renewal

SAN FRANCISCO FLOWER MART
2013 BADGE RENEWAL

2012 BADGES WILL NOT WORK AFTER JANUARY 2013

PLEASE RETURN COMPLETED FORM WITH PAYMENT

FEES: $75.00 FOR ONE MART BADGE**
** Additional badges are $25.00 each

MAIL: PAYMENT AND THE COMPLETED PORTION OF THIS FORM
(make checks payable to)
Flower Market Badge Trust Fund (FMBTF)
640 Brannan Street
San Francisco, CA 94107

NOTE: Please allow 2 weeks to process and pick up Badges.
Badges MUST be PICKED UP in our office

BADGE OFFICE HOURS:
M-W-F 6:00 am to 12:00 noon & T-TH 7:00 am to 12:00 noon
For questions, please call our office (415) 392-7944 x 3

SFFM BADGE ALLOWS FOR PARKING WHILE SHOPPING AT THE SAN FRANCISCO FLOWER MART ONLY
Deadline to Renew your Badge is February 28, 2013

Please check one of the boxes below:

2012 BADGE #:______________________

Purchases made in the Mart are primarily for decorative use within my business
(NOT RESALE) and should be subject to sales tax.

OFFICE USE ONLY

RCPT#:_____________

DATE:______________

AMOUNT:___________

Purchases made in the Mart are primarily for (RESALE) in my regular course of business and should not be subject to sales tax.

SELLER’S PERMIT NUMBER:_____________________________________________________________

OWNER’S/AUTHORIZED SIGNATURE:

__________________________________________________

OWNER’S / CONTACT NAME:____________________________________________________________

COMPANY NAME:______________________________________________________________________

ADDITIONAL BADGE FOR BUYER:__________________________________________________

ADDRESS:_____________________________________________________________________________

CITY:___________________________________ STATE:______________ ZIP:_____________________

CONTACT PHONE # :(_____)__________________ CELL PHONE #:(_____)______________________

E-MAIL ADDRESS:______________________________________________________________________

WEBSITE:______________________________________________________________________________

Check Credit Card #_______________________________________Exp. Date:_______________
^{Visa and Master Card Only}

AMOUNT ENCLOSED:_____________________________ # OF BADGES:_________________________