Jenny’s Penguin Patch® Holiday Shop
Sign-Up Agreement
11855 Alta Vista, Fort Worth, TX 76244
www.PenguinPatch.com ~ [email protected]
School Name: ___________________________________
Organization Type (circle one): PTA / PTO / School / Other
Address: ________________________________________
City: _________________
State: _______ Zip: ________
Phone: _________________ Fax: ___________________
School Enrollment: ________ County: ________________
President’s Name: ________________________________
Email: __________________________________________
Phone: _________________ Phone: _________________
(home)
(cell)
Treasurer’s Name: _______________________________
Email: __________________________________________
Phone: _________________ Phone: _________________
(home)
(cell)
Chairperson’s Name: _______________________________
Email: __________________________________________
Phone: _________________ Phone: _________________
(home)
(cell)
Choose Shop Dates Below
___ November 28 - December 2, 2016
___ December 5 - December 9, 2016
___ December 12 - December 16, 2016
___________________ Other Dates
Optional High End Supplement: Yes/No
(receive extra items priced over $10)
Make sure your shop opens with plenty of product. Let us know
what you paid your previous vendor.
$________________ # of Days Shop Ran: ___________
Signature and Title:
Date:
I have read and understand this agreement and am an authorized
agent for this organization.
Penguin Patch® Representative:
Phone: 817-380-6120 ~ TF 1-888-577-2824
Fax: 817-380-6125 ~ TF 1-877-306-4320
Penguin Patch® Holiday Shop Will Provide:
1. An awesome selection of gift items for children to purchase.
2. Announcement flyers for each child to take home.
3. Gift bags, posters and carry home bags.
4. Parent letter and budget envelope for each child.
5. Shop instructions and publicity kit.
Penguin Patch® Holiday Shop Will:
1. Provide recommended resale sheets.
2. Deliver/Ship merchandise at no cost to the organization.
3. Redeliver/Ship additional merchandise during operation of shop.
4. Provide restocks throughout your shop dates. (Due to unpredictable
popularity, we cannot guarantee 100% restocks on all items.)
5. Take back ALL unsold, unmarked and undamaged merchandise.
6. Pick up for free or pay for return shipping. If returning by shipping
service, Penguin Patch® Holiday Shop will pay UPS or USPS Ground
only.
Your Organization Agrees:
1. To actively promote the shop.
2. To not sell other commercial merchandise.
3. To not mark on or put price stickers on any merchandise packaging.
4. To supply tables to display merchandise.
5. To furnish volunteers to run shop.
6. To calculate amount due to Penguin Patch® Holiday Shop by utilizing
our calculator online at: www.PenguinPatch.com/calculations.
7. To have all merchandise re-boxed with a copy of daily receipts ready for
pickup or shipping at end of the last day of the shop.
8. To return all unused promotional supplies, paper products and bags to
Penguin Patch® Holiday Shop.
9. To ship unsold merchandise by UPS or USPS Ground using provided
ground labels.
10. To send payment via US mail within 3 business days after close of shop
with final bill calculations worksheet.
11. Payments not postmarked within 3 days will automatically incur a 10%
late charge and a service charge of 1.5% per month. Contact us if your
payment is going to be late or you need help.
12. To run shop for the specified dates and to pay a cancellation fee of five
hundred dollars if the shop is canceled after Oct. 5th. You must call our
office at 888-577-2824 in order to obtain a Confirmation Code in the
event of cancellation. If merchandise has been shipped, a minimum
invoice of five hundred dollars is required.
Pricing Details:
1. TAX EXEMPTION CERTIFICATE: Merchandise provided by Jenny’s
Penguin Patch® Holiday Shop for this program is sold on a wholesale
basis. Sponsoring organization is solely responsible for collecting any
sales tax on sales to students/parents, etc. It is up to the sponsoring
organization to determine whether this is one of their tax exempt projects.
Therefore, it is necessary for the sponsoring organization to provide a
signed tax exemption certificate to Jenny’s Penguin Patch® Holiday Shop
covering this sale.
2. Your organization, not Jenny’s Penguin Patch® Holiday Shop,
determines the resale prices of gifts. Jenny’s Penguin Patch® Holiday
Shop will provide a price list and price cards based upon your decision.
Choose Price Markup:
__ 0% Service Project
__ 20% Fundraiser
__ 10% Service Project
__ 30% Fundraiser
Referred by:
Select your Bonus in order of preference. (You will receive 1—if available)
Preference 1: ___________________________
Preference 2: ___________________________
Page 1 Rev 5.16 OS
VA Dept. of Taxation
Form ST-12
6201059
Rev. 10/06
COMMONWEALTH OF VIRGINIA
SALES AND USE TAX CERTIFICATE OF EXEMPTION
(For use by the Commonwealth of Virginia, a political subdivision
of the Commonwealth of Virginia, or the United States)
R&K Sales Inc d/b/a Spots Gift Shop
To: _________________________________________________________________ Date: ______________________ , _______ .
(Name of Dealer)
11855 Alta Vista Rd
TX
Ft Worth
76244
_____________________________________________ t ______________________________________ t _____ t ___________
(Number and street or rural route)
(City, town, or post office)
(State)
(Zip Code)
The Virginia Retail Sales and Use Tax Act provides that the Virginia sales and use tax shall not apply to tangible personal
property for use or consumption by this State, any political subdivision of this State, or the United States. (This exemption
does not apply to sales or leases to privately owned financial and other privately owned corporations chartered by the
United States.)
The undersigned, for and on behalf of the governmental agency named below, hereby certifies that all tangible personal
property purchased or leased from the above dealer on and after this date will be for use or consumption by a governmental agency, that each such purchase or lease will be supported by the required official purchase order, and that such
tangible personal property will be paid for out of public funds: (Check proper box below.)
✔
1. Tangible personal property for use or consumption by the Commonwealth of Virginia.
2. Tangible personal property for use or consumption by a political subdivision of the Commonwealth of
Virginia.
3. Tangible personal property and taxable services for use or consumption by the United States.
(Name of governmental agency)
_____________________________________________ t ______________________________________ t _____ t ___________
(Number and street or rural route)
(City, town, or post office)
(State)
(Zip Code)
I certify I am authorized to sign this Certificate of Exemption and that, to the best of my knowledge and belief, it is true and
correct, made in good faith, pursuant to the Virginia Retail Sales and Use Tax Act.
By: _____________________________________________________________ f ___________________________________
(Signature)
(Title)
Information for dealer: — A dealer is required to have on file only one Certificate of Exemption properly executed by
the governmental agency buying or leasing tax exempt tangible personal property under this Certificate.