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DISTRIBUTORSHIP APPLICATION

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DISTRIBUTORSHIP APPLICATION Powered By Docstoc
					                 Note: Highlighted fields must be completed before the application will be appro ved.

                                             Oceanpro Aquatics, Inc.
    APPLICATION FOR AUTHORIZED DISTRIBUTOR ACCOUNT
              ”WHOLESALE ONLY”    (909)590-4227 OFFICE     (909) 590-2636 FAX
                     13472 FIFTH STREET # 4, CHINO, CALIFORNIA 91710

                                           BUSINESS CONTACT INFORMATION
Legal Name: (Last)                                   (First)                               (Middle)
Title:
Company name:
Phone:                             Fax:                           E-mail:
Date business commenced:
Sole proprietorship:                  Partnership:                Corporation:                        Other:
                                   BUSINESS AND CREDIT INFORMATION
             ”NOTHING WILL BE CHARGED TO ANY ACCOUNT BELOW WITHOUT YOUR AUTHORIZATION”
                    PROVIDE AT LEAST (1) FORM FOR METHOD OF PAYING YOUR PURCHASES
Address (if your credit card is billed to a different address than listed above) :

City:                                                           State:                                ZIP Code:
How long at current address?
Telephone:                         Fax:                         E-mail:
Bank name:
Bank address:                                                   Phone:
City:                                                           State:                                ZIP Code:
Type of account                    Account number
Savings
Checking
Visa                               No.                                            Exp.     /      /      Security Cvv. _ _ _
MasterCard                         No.                                            Exp.     /      /      Security Cvv. _ _ _
PayPal (email address)                                                                                   (must be confirmed)
Other
                                TYPE OF ACCOUNT YOU ARE APPLYING FOR AND/OR OWN
                                                     (check all that apply):
              Authorized Distributor        Retailer / Pet shop            Wholesaler        Service Company
          Master Distributor   (send information and benefit package on becoming a future Master Distributor)
                                                          AGREEMENT
1. All invoices are to be paid immediately and clear our bank before anything is shipped .
2. Claims arising from invoices must be made with in seven working days.
3. If you are approved, you will be recognized as our customer despite where we ship too. California taxes
   apply to all California based companies that do not possess a resell license. Taxes of 7.75% -8.25%
   depending upon county will be billed to “all” customers that drop ship to California based recipients.
4. By submitting this application , you authorize Oceanpro Aquatics, Inc. to make inquiries into the banking and
   business/trade references that you have supplied.
5. By signing this application, you give Oceanpro Aquatics, Inc. permission to charge your account for any
   request made by you to drop ship to any party whether it be to yourself or to another. You will be provided
   a unique user ID that must be entered on every order made (order sheets will be provided) for your
   protection.
6. If this application is approved, you agree without reserve to all legal, terms and warranties as listed by
   Oceanpro Aquatics, Inc. that can be viewed on our website which will change without prior notice, so please
   periodically review all legal listed in www.OceanproAquatics.com/legal.htm
7. You will be sent full details, a blank purchase order sheet, Authorized Distributor Number, etc. once
   approved. Thank you for your interest in joining the Oceanpro team!

APPLICANT SIGNATURE                                               OFFICE USE ONLY
                                                                  Account Authorized by:________________________
                                                                  Account No._________________________________
                                                                  Region _____________________________________
Title:                                                            Date Account Opened     /  /   Closed  /  /
Date:                                                             Open Credit Line $

				
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posted:9/6/2012
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