WHOLESALER CREDIT APPLICATION

Applicant Information

Legal Business Name:

Address:

City:

State:

Zip Code:

Telephone:

Fax #:

Nature of Business:

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Company Info:

President:

A/P Contact:

New Field:

Credit required: $

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Banking Information (only required if you require credit terms)

Bank Name/Address:

Contact:

Account #:

Fax #:

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Credit References: Provide names and addresses of (preferred) companies in your industry that you do business with regularly

Name/Address:

Telephone:

Fax:

Contact:

Name/Address:

Telephone:

Fax:

Contact:

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PLEASE PROVIDE A COPY OF YOUR BUSINESS LICENSE WITH THIS APPLICATION

Terms:

1. All Sales Are Final – We do not take back expired or damaged product (after receipt of product)

2. Terms of Sale - To be determined

3. Overdue accounts are subject to Interest charges of 2% per month

4. Failure to comply with Terms of Sale will result in termination of credit privileges

5. UK Imports may obtain from any credit agency or any other source all the required information to open this account and/or update it.

I, the undersigned, understand and am authorized to agree to the terms and conditions of this application and declare that all of the information provided is true and correct.