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Please print the form below to assist in establishing the account. PLEASE REMBER . Signature, & State Sales Tax Certification # You must print and mail the BLANKET CERTIFICATE OF RESALE form below.



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Mail to:
                Central Registration
                  SatelliteDish.com
              422 East Sample Road
            Pompano Beach, FL 33064



If you have any questions or need assistance, please contact:
Atlantic Satellite South,Inc. 954-941-8883 - UIN# 4521915
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