Forms

Use this page as a resource for any forms you may need during your ordering process. All forms are available in PDF format and, for your convenience, can be printed or filled out online and emailed directly to us.

Contact and Invoice Account

Information required to set up and open an account with Coller Industries Incorporated. Note: Your credit card will not be charged until your order has shipped.

Open Form

Payment Authorization

This is provided for your convenience to give us your payment information.

Open Form

IRS Form W-9

Request for Taxpayer Identification Number and Certification.

Open Form

Utah Tax Exemption

These forms are only to be used for Utah Tax Exemptions. There are many rules and regulations to using these forms, and they must be filled out correctly to claim tax exemption. There are two versions of this form:

Form TC-721 Exemption Certificate

Please use this form for an exemption certificate for sales and use taxes. The purchaser must be qualified under Utah Tax Code to receive this exemption. These could include but are not limited to, religious or charitable institutions. Please make sure to fill out the form in entirety before submitting. We do not offer any assistance, and if the forms are not filled out correctly, they will be returned.

Open Form

Form TC-721G Exemption Certificate

Please use this form for an exemption certificate for governments and schools that are exempt from State Taxes by federal law. These could include, but are not limited to, government agencies, Native American Tribes, or senior centers owned by the state or local county. Please make sure to fill out the form in entirety before submitting. We do not offer any assistance, and if the forms are not filled out correctly, they will be returned.

Open Form

If you do not have a PDF reader, you can get Adobe® Acrobat Reader for free.