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Becoming a Reseller Request

NOTE: Emailed files will be sent to the address(s) you enter on this form.

Reseller / Credit Application

If all you want to do is become a dealer and be a pre-pay customer skip Credit References Area

Business Information:

Credit References:

PLEASE LIST THREE MANUFACTURERS YOU CURRENTLY DO BUSINESS WITH:.

REFERENCE #1:

REFERENCE #2:

REFERENCE #3:

I or we, the undersigned, agree to comply with all invoice terms. Interest of 1-1/2% may be charged on past due accounts. I or we hereby personally guarantee payment of any indebtedness from the applicant. Each of us further agrees that in the event of default on the account, we are to pay reasonable collection cost, including attorney's fees and court cost. :

Officer or Owners:

Credit Terms:

Deduct a 1% discount if paid within 10 days of invoice date, net due within 30 days of invoice date! Accounts may be placed on credit hold for any account balance beyond 45 days!
TO ESTABLISH OPEN CREDIT WE MUST (BY LAW)HAVE YOUR STATE RESALE NUMBERS ON FILE-- PLEASE INCLUDE A COPY WITH THIS FORM
I hereby authorize the person or firm to whom this application is made, any credit bureau or other investigative agency employed by such person, to investigate the references herein listed or statements or other data obtained from me or from any other person pertaining to my credit and financial responsibility.