Credit Term Application by ykg43205

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									CREDIT TERM APPLICATION

Company Information

Legal Name of Company: _____________________________________________________________________

DBA (If Different): ______________________________________________________________________________

M AILING A DDRESS (B ILLING A DDRESS ): ____________________________________________________________

                                                            ____________________________________________________________

S HIP T O A DDRESS (I F D IFFERENT ): _________________________________________________________________

                                                   _________________________________________________________________

T ELEPHONE       NUMBER :      ________________________________________

F AX   NUMBER :       ______________________________________________

E- MAIL : ___________________________________________________

W EB S ITE : _________________________________________________

                                                                                                              DO    YOU HAVE A          WEBSITE ?

O WNER : __________________________________________________                                                   YES                      NO

             P HONE : ___________________________________________

             E MAIL : ____________________________________________                                            DO    YOU SELL       O NLINE ?

B UYER : ___________________________________________________                                                  YES                      NO

             P HONE : ___________________________________________

             E MAIL : ____________________________________________

HOW DID YOU HEAR ABOUT US? ___________________________________________________________________________

IS   YOUR COMPANY A CORPORATION , PARTNERSHIP , OR SOLE PROPRIETORSHIP ?                                             _____________________________________

W HAT       IS YOUR COMPANY ’ S          F EDERAL ID N O .? _________________________________________________________________

W HAT       IS YOUR COMPANY ’ S          D UN ’ S N O .? _____________________________________________________________________

PROMO DISTRIBUTORS ONLY, PLEASE LIST YOUR NUMBERS FOR:

ASI                               PPAI                               SAGE                               UPIC                               OTHER                              

IS   YOUR COMPANY AFFILIATED WITH OR A SUBSIDIARY OF ANOTHER FIRM ?                                         ___________________________________________

IF   SO ,   P LEASE   DESCRIBE THE RELATIONSHIP AND PROVIDE THE COMPLETE NAME ,                                      A DDRESS , T ELEPHONE            AND    F AX N UMBERS       OF
THE OTHER COMPANY               B ELOW :




A UTHORIZED S IGNATURE                                                                                                                                D ATE
B ANK R EFERENCE :

            B ANK N AME         AND     B RANCH :

            M AILING A DDRESS :



            T ELEPHONE        AND FAX NUMBERS :

            A CCOUNT N UMBER :

            T YPE    OF   A CCOUNT :

            B ANK O FFICER /C ONTACT :

T RADE R EFERENCES : (M INIMUM                 OF THREE ):


1.          N AME      OF   C OMPANY :

            M AILING        ADDRESS :

            T ELEPHONE        NUMBERS :


            F AX    NUMBERS              :

2.          N AME      OF   C OMPANY :

            M AILING        ADDRESS :

            T ELEPHONE        NUMBERS :


            F AX    NUMBERS              :

3.          N AME      OF   C OMPANY :

            M AILING        ADDRESS :


            T ELEPHONE        NUMBERS :

            F AX    NUMBERS              :

Upon approval of credit, our company’s normal terms of sale to American and Canadian customers for regular, non-customized merchandise IS NET 30 DAYS,
F/C 31 + DAYS. This means we charge 1.5% per month (18% per annum) on any unpaid balance beyond 30 days from invoice date. Customized merchandise
is subject to a 50% deposit or letter of credit being required when the order is placed, with the balance due on delivery. Orders from foreign countries require
an irrevocable letter of credit or similar banking instrument being opened in our favor. Orders for less than the minimum order amounts are subject to a 10%
service charge and are to be prepaid or c.o.d. Orders received from accounts with past due balances will be put on credit hold. Upon an account being 30
days past due, the appropriate credit services will be so notified. Upon an account being 60 days past due, credit privileges will be canceled and the account
will be placed for collection. We reserve the right to enforce any or all of these provisions and conditions at any time we deem appropriate to do so.

I N MAKI NG THI S   APPLI CATI ON ,   I/W E   UNDERST AND THAT ALL ACCOUNTS , UNLESS OTHERWI SE ARRANGED , ARE PAY ABLE ACCORDI NG TO THE TERM STATED ON EACH I NVOI CE .
I F NOT PAI D ON    OR BEFORE THE TERMS STATED THEY SHALL BE CONSI DERED DELI NQUENT .I/W E AGREE TO PAY ANY AND ALL LEGAL SERVI CE CHARGES ADDED EACH MONTH
ON PAST DUE I NVOI CES .   IF CREDIT IS GRANTED: I/W E AUTHORI ZE THE RELEASE OF THE BANKI NG INFORMATION RELEVANT TO THE ABOVE . I/W E CERTIFY THE ABOVE
I NFORMATI ON TO BE TRUE AND CORRECT . I/W E AGREE TO THE ABOVE TERMS AND THE UNDERSIGNED I S / ARE RESPONSI BLE FOR PAYMENT OF THE ACCOUNT . I/W E FURTHER
AGREE THAT I F THE ACCOUNT MUST BE PL AC ED FOR COLLECTI ON , THAT I/W E WI LL PAY ANY AND ALL COLLECTI ON FEES , ATTORNEY , AND COURT COS TS ASS OCI ATED WI TH S AI D
COLLECTI ON . I N CONSI DERATI ON OF THE APPROVAL OF CREDI T FOR THE ABOVE COMPANY , AT OUR REQUEST , I/W E HEREBY PERSONALLY GUAR ANTEE THE PAYMENT OF ALL
THEI R OBLI GATI ONS TO YOU , UNTI L WI THDRAWN BY ME / US BY CERTI FIED MAI L .




A UTHORIZED S IGNATURE                                                                                                                      D ATE
CREDIT CARD AUTHORIZATION

Company:                                                                                

Name:                                                         

Fax:                                                          

Accounts Payable Person (If different than Card Holder):                                                                                

A/P Person Email Address

McKlein Contact:                                                                                



                                                 LETTER OF AUTHORIZATION FOR CREDIT CARD PURCHASE

Item Name/ Description:                                                                                

Item Cost:                                                                            

Card Holder Name:                                                                      

Billing address:                                                                      

City:                                                     State:                            Zip Code:                              

Phone Number:                                                                 

Credit Card Type:                                              

Credit Card Number:                                                                                

Exp. Date:                                    Security Code:                    




I authorize McKlein Company LLC to charge the above listed credit card for product(s) specified incl. freight if
applicable.



Card Holder’s Signature:                                                                                



PLEASE FILL OUT IMMEDIATELY AND FAX BACK TO:

McKleinUSA, 5412A West Roosevelt Road,Chicago, IL 60644

Rep Name:                                                                                

P: (773) 378-5400                     F: (773) 378-5800

								
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