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CUSTOMER INFORMATION /CREDIT SHEET Name of Business ___________________________________________ Years in Business___________ Business Address: (No P.O. Boxes)________________________________________________________ City___________________________________________ State______________ Zip__________________ Phone:________________________________________ Fax: ___________________________________ Type of Business: (1)Individual___ (2)Partnership___ (3)Corporation___ Resale Tax#:________________ Federal Identification #______________________ If Incorporated: Date of Incorporation______________ Owner, Partnership or Corporation Officers: Home Address_________________________________________ Soc. Sec #______________________ Name____________________________ Title__________________ Home Phone__________________ Home Address_________________________________________ Soc. Sec #______________________ Do you Own___ or Rent____ your building? If Renting from whom do you rent? Name_______________________________________________ Phone___________________________ Address_______________________________________________________________________________ Bank: Name _______________________________________ Phone_____________________________ Address_______________________________________________________________________________ Checking Account #_____________________________ Officer Name___________________________ Industry References: Address_______________________________________________________________________________ Name___________________________________________________ Phone_______________________ Address_______________________________________________________________________________ Name___________________________________________________ Phone_______________________ Address_______________________________________________________________________________ Please feel free to attach any further information on your organization Terms of Sale: 2%/10, n30 days for those with open accounts. All other invoices are due upon receipt. Interest will be charged at the rate of 1 3/4% per month (21% per annum) on all past due invoices. Customer agrees to pay reasonable attorney's fees, court costs and all other costs of collection after default. All legal action will be tried by the Laws of the State of New Jersey via the New Jersey Courts. If the invoice is past due over 30 days, a collection surcharge of 50% will be added by a third party collection agency. A service charge of $25 will be made on all returned checks and refused COD's.
All accounts are payable at: Name of Firm ____________________________________________________ By_____________________________________________________________________________________ Title______________________________________________________ Date_________________________ CREDIT IS A PRIVILEGE NOT A RIGHT! PLEASE DON'T ABUSE IT. |
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All prices are subject to change and seasonal availability. All orders will be reviewed by customer service representatives for approval prior to shipping.
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