Your Name:
Company Name:
Name of Parent Company:
Type of Business
If Incorporated, What State?:
DUNS #:
EIN:
Social Sec. #:
Date Business Started:
Type of Business:
Business Contact Information
Street Address:
City:
State:
(Select State or Province)
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Zip:
Phone #:
Fax #:
Email:
Corporate Officer, Owner Information
President:
Vice President:
Treasurer:
Billing, Receivables Contact:
Phone #:
We expect our Monthly Credit Requirements to be Approximately:
Normal Days to Pay:
Bank Information
Bank Name:
Branch:
Street Address:
City:
State:
Zip:
Phone #:
Checking Acct. #:
Savings Acct. #:
Trade Reference 1
Organization:
Street Address:
City:
State:
Zip:
Contact Name:
Phone #:
Fax #:
Trade Reference 2
Organization:
Street Address:
City:
State:
Zip:
Contact Name:
Phone #:
Fax #:
Trade Reference 3
Organization:
Street Address:
City:
State:
Zip:
Contact Name:
Phone #:
Fax #:
By submitting this form, applicant understands and agrees that all invoices are due and payable 30 days after our invoice date.
All merchandise shall remain the Seller's property. Title does not pass to the buyer until all merchandise is paid in full.
In the event it becomes necessary to file suit to enforce payment, such suit may be brought in Orange County, California at seller's option, and Discount-Tools.com will be entitled to recover all collection costs, attorney's fees, and other costs associated with such suit. All transactions are deemed, made, payable and due at Discount-Tools.com's principal place of business at Costa Mesa, CA.
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