"Seller Identification Form - Telemarketing Registration Statement" - Delaware

This fillable "Seller Identification Form - Telemarketing Registration Statement" is a document issued by the Delaware Department of Justice specifically for Delaware residents.

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Download "Seller Identification Form - Telemarketing Registration Statement" - Delaware

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State of Delaware
Department of Justice
Telemarketing Registration Statement
SELLER IDENTIFICATION FORM
Instructions. If the Registrant indicated yes under Section VII, this form must be completed for
each seller that has hired the Registrant to engage in telemarketing to customers located in the
State of Delaware. Please type or print the following information in the space provided. If
necessary, attach additional sheets.
The Seller’s Legal Name:
1.
The Seller’s Business Address:
2.
Address (Line 1)
Address (Line 2)
City, State, Zip Code
The Seller’s Business’s Phone Number:
3.
(
) _____ - _______
The Seller’s Business Name:
4.
5.
The Seller’s State of Incorporation:
The Seller’s Registered Agent:
6.
Name
Address Line # 1
Address Line # 2
City, State, Zip
Phone Number
(_____) _____-___________
State of Delaware
Department of Justice
Telemarketing Registration Statement
SELLER IDENTIFICATION FORM
Instructions. If the Registrant indicated yes under Section VII, this form must be completed for
each seller that has hired the Registrant to engage in telemarketing to customers located in the
State of Delaware. Please type or print the following information in the space provided. If
necessary, attach additional sheets.
The Seller’s Legal Name:
1.
The Seller’s Business Address:
2.
Address (Line 1)
Address (Line 2)
City, State, Zip Code
The Seller’s Business’s Phone Number:
3.
(
) _____ - _______
The Seller’s Business Name:
4.
5.
The Seller’s State of Incorporation:
The Seller’s Registered Agent:
6.
Name
Address Line # 1
Address Line # 2
City, State, Zip
Phone Number
(_____) _____-___________
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