Los Angeles Flower District Association / Badge Program

APPLICATION FOR NEW TRADE MEMBERS

1	Business Owner's Name (print clearly): ________________________________________________________
2	Home Address: ___________________________________________________________________________
	City/State: _______________________________________________________________________________
3	Home Phone (____) _______________________________________________________________________
4	Business Name: __________________________________________________________________________
5	Business Address: ________________________________________________________________________
	City/State: _______________________________________________________________________________
6	Business Phone (____) _________________________  Fax: (____) ________________________________
7	Tax ID or Social Security #: _________________________________________________________________
8	Type of Business:   __Retail Florist   __Wholesale Florist   __Interior Decorator   __Caterer __Other (please specify): ___________________________________________________________________
9	Resale Certificate Number from California State Board of Equalization: ________________________________________________________________________________________ Note: Your membership will not be processed and there will be NO cash refunds or credit in the event the California State Board of Equalization reports back that your Resale Number as Invalid or Closed.
10	Signature of Applicant: _____________________________________________________________________
11	Individuals' Names as They Should Appear on Badges (not mandatory): Badge #1   Badge 4 ($3 extra)   Badge #2   Badge 5 ($3 extra)   Badge #3 $3 extra _______________________________ Badge 6 ($3 extra) _______________________________
Please Check Membership Period:     ___$30 = 1 Year Membership (Year 2006 Only)   ___$50 = 2 Year Membership (Years 2006 and 2007)

FEE AMOUNT ENCLOSED: $ __________  
Date: ___/____/____     __Check __Money Order __Cash

Please make check payable to: LAFD Badge Program. Enclose:

Mail documents to: LAFDBP, 766 Wall St., Los Angeles, CA 90014. Please allow 7 days for your application to be processed before picking up your badges. Note: BADGES WILL NOT BE MAILED OUT.

IMPORTANT NOTICE FROM THE STATE BOARD OF EQUALIZATION
CONCERNING PURCHASES "FOR RESALE".  Misuse of Resale Certificates.

One of the rights granted to holders of seller's permits is the authority to issue resale certificates for merchandise they intend to resell. The permit is NOT a "Buyer's" license to purchase property at wholesale for personal or business use, to decorate one's home. Such misuse of a resale certificate for the purpose of evading payment of the sales or use tax or for personal gain constitutes a violation of the Law. Those persons who are found to have made illegal use of their permits may be subject to one or more of the following penalties:

1. Criminal prosecution. This could lead to a fine up to $5,000, imprisonment up to one year, for each offense.
2. A minimum penalty of $500 or 10% of the amount of tax due, whichever is more, for each misuse.
3. A 25% penalty for fraud, or intent to evade the tax, on all unreported tax liability.
4. Revocation of the seller's permit. 

BT-519 REV.2  (8-84)  (CPPM 265.040) State Board of Equalization.