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205 Westwood Ave Long Branch, NJ 07740 732-222-1511/ 866-942-6273 (phone) 732-222-7088 (fax) E-mail: rich@touchboards.com www.touchboards.com
CREDIT APPLICATION for Net 30 Terms
Legal business name: ________________________________________________ Sub-company or DBA: _______________________________________________ Contact: ___________________________________________________________ Address: ___________________________________________________________
Phone: ________________________________ E-mail: _______________________________ Check One
Fax: _____________________________ Website: _________________________
□ Proprietorship □ Partnership
□ Corporation
□ LLC
□ Other
Credit Line requested $ _____________________________________ Tax ID #: ______________________________ D&B #: ______________________________ KEY COMPANY CONTACTS Accounts Payable:________________________________________________ Controller/VP Finance: ___________________________________________ Sales Manager: _________________________________________________ Purchasing Manger: ______________________________________________ NAMES OF OWNER (S), OFFICER (S) OR PERSONS RESPONSIBLE FOR ACCOUNT ____________________________
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January 22, 2009 Page 2
Supplier/Trade References, please provide at least 3
Name: __________________________________________________________________ Phone: __________________________________ Fax: ___________________________ Acct# __________________________________ Contact: _________________________
Name: __________________________________________________________________ Phone: __________________________________ Fax: ___________________________ Acct# __________________________________ Contact: _________________________
Name: __________________________________________________________________ Phone: __________________________________ Fax: ___________________________ Acct# __________________________________ Contact: _________________________
Bank Reference
Name: ___________________________________ Account #: _______________________
Address: ____________________________________________________________________ Phone: _______________________________ Fax: __________________________________ Contact: ______________________________
Indicate the number of employees at your company: _________________________ Indicate how many locations you have: __________________
January 22, 2009 Page 3
IF YOU ARE PLACING YOUR ORDER TODAY AND NEED IT TO SHIP IN THE NEXT FIVE DAYS PLEASE READ. Unless your company is part of the fortune 1,000 it usually takes between 1 to 10 business days to approve you for terms, depending on the information you provide us. If your references respond quickly, we will do so in kind. You can get instant approval for Net 30 terms if you secure your order with a credit card. We will not charge the card, but we will authorize the funds. We will release the funds on the credit card once payment is made or you are approved of net 30. This is the quickest way to get product out the door. Please complete the following for instant net 30 terms. Card Number: ________________________ Expiration Date_______________ Name on Card___________________ I authorize Touchboards to charge purchases of product to the above credit card if payment is not received in the allotted amount of time, usually 35 days after the purchase of the product. This authorization will remain in effect until written notice of cancellation is received by Touchboards . Print Name: __________________________ Billing address for Card holder: __________________________________ City, State, Zip: _______________________________________________ Date: _________________
January 22, 2009 Page 4
APPLICATION FOR CREDIT
THE INFORMATION REQUESTED ON THIS APPLICANT IS FOR THE PURPOSE OF OBTAINING CREDIT ACCOUNT PRIVILEGES FROM TOUCHBOARDS. APPLICANT AND ANY GUARANTORS FOR THEMSELVES AND THEIR OFFICERS AND/OR MEMBERS AUTHORIZE TOUCHBOARDS TO CONDUCT ANY INVESTIGATIONS DEEMED NECESSARY TO AUTHORIZE OPENINGS OR CONTINUATION OF THE ACCOUNT INCLUDING CREDIT INVESTIGATIONS OF THE APPLICANT, GUARANTORS, OFFICERS AND/OR MEMBERS OR PARTNERS OF THE APPLICANT. Terms of Sale, including price, terms of payment and charges, for each purchase are agreed to be those specified on the face of each invoice. The above information is willingly supplied and Touchboards is authorized to contact the above bank and trade references in order to establish the creditworthiness of the above named company. If applicant is not a corporation or is a newly formed corporation or under new management, then Touchboards is authorized to obtain credit reports about proprietors, partners or principles. Should credit availability be granted by Touchboards, all decisions with the respect to the extension or continuation shall be in the sole discretion of Touchboards. Touchboards may terminate any credit availability within its’ sole discretion.
Signed ___________________________________________________ Title (If Corporation)____________________________ Date __________ GUARANTY AGREEMENT
In consideration of the sale of merchandise by Touchboards to the applicant, the undersigned hereby unconditionally guarantees to Touchboards the payment of any existing or future indebtedness which the APPLICANT owes to Touchboards in any manner whatsoever without limitation as to amount (the “Debt”). This guaranty shall be a continuing guaranty independent of and in addition to any other security, collateral or guaranty held by Touchboards and shall not be impaired by any neglect, failure or omission to realize upon any extension of credit in excess of the initial credit limit or by renewal, modification, compromise or discharge of the Debt or any part thereof with any party obligated on the Debt. The liability of the undersigned shall be direct, immediate and absolute and not be conditional or contingent upon the pursuit or prosecution by Touchboards of any other remedy or remedies whatsoever, and Touchboards shall have against the undersigned any and all rights and remedies it might have against the APPLICANT. The undersigned consents to Touchboards obtaining a consumer credit report on undersigned for the purpose of evaluating the creditworthiness of APPLICANT in connection with an application for business credit.
Dated this _______________ day of ____________________, 20_______ Witness: _______________________ Signature of Guarantor: _____________________________ SSN:___________________________________ Home Address:_______________________________________________ If you have any questions please call 866-942-6273.