Thrift Store - Online Registration

** On-line registration is currently unavailable until after the May 15 auction. Registration is available in person at the auction. **

** On-line registration not available during the week of the scheduled Store Sale. **

There is no easier way to register as a new customer than from the privacy of your own computer. Take a minute to give us your name and mailing address. No confidential information of any sort is required.

Enter the full name of the registrant. This must be the name of a person, even if registration is intended for a business or other organization. Items in red print indicate required information.

When you have completed the form, click on the Submit button. That's all there is to it.

First Name:

Middle Initial:

Last Name:

Address:

City:

State:

Zip:

Phone:

Email:

Driver License State:

Driver License #:

Expiration Date:

How did you hear about us?:

Description:

Resellers and non-profits may qualify for sales tax exemption on purchases at The Store. If you are claiming this exemption, you must present a valid Florida sales tax certificate at the time of your first visit.

Eligible for FL Sales Tax Exemption? Yes
No

If yes, enter FL Tax Certificate Number:

Expiration Date:

Attachment:

Eligible for Non-Profit Organization Number? Yes
No

If yes, enter Non-Profit Organization Number:

Expiration Date:

Attachment:

Eligible for Out of State Dealer License Number? Yes
No

If yes, enter Out of State Dealer License Number:

Expiration Date:

Attachment:

Eligible for Agricultural Exemption License Number? Yes
No

If yes, enter Agriculture Exemption Number:

Expiration Date:

Attachment:

Do you want to upload any Other Document? Yes
No

Description:

Attachment:

The information provided becomes part of a public record accessible to the public upon request.

Our Privacy Policy: All information you provide us is solely for the purpose of registering as a customer of the Palm Beach County Thrift Store. Your information is not sold or distributed to third parties, and you will receive no solicitations. We are a spam-free service of Palm Beach County government. (5/16/5)

Note: Bidders claiming Tax Exempt status please fax current valid Tax Exempt forms, Business licenses, and Purchase Authorization forms on company letter head, to 561-233-2257 Attention Thrift Store Staff and include your Bidder number and name. Non-Profits will need to provide an up-to-date letter of authorization every month. For more information please contact Store Staff at 561-233-2256

E-mail Disclaimer:

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.