SAN FRANCISCO FLOWER MART
2011 BADGE RENEWAL

DEADLINE TO RENEW YOUR BADGE IS FEBRUARY 28, 2011

 
PLEASE RETURN COMPLETED FORM WITH PAYMENT

FEES:          $90.00 FOR 2 (two) MART BADGES **
                               ** Additional badges are $5.00 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 for processing. If you choose to have your Badges sent, please check the box at the bottome of the form.  If you will be picking your badges up, please come to the CALIFORNIA FLOWER MARKET, INC. (415-392-7944 ext 3) during BADGE OFFICE HOURS ONLY:

                          M-W-F 6:00 am to 12:00 noon & T-TH 7:00 am to 11:00 am

BADGE-HOLDER PARKING PRIVILEGES APPLY ONLY WHILE SHOPPING AT THE SAN FRANCISCO FLOWER MART.

Please check one of the boxes below: 2010 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:______________________________________________________________________
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:_________________________

No, I will pick up my badges up in the Mart Office.  Yes, I would like my badges mailed to the above address.