The Customer hereby applies to RoofGenius Company for credit terms as
indicated below and certifies that the information below is true and
complete and is furnished with the intent that it be relied upon by
RoofGenius Company in granting credit.
The Customer agrees to notify RoofGenius Company immediately of any
change in Company ownership. If granted credit by RoofGenius Company,
the Customer agrees to pay all invoices according to the terms set by
RoofGenius Company.
General Business Details
Legal name of business______________________________________ Phone
#____________
Trade name/style____________________________________ Fax #
__________________
Address________________________________________
City__________________________
Province/State___________________________________ Postal/Zip
Code________________
Mailing address (if different from above)
__________________________________________
City_____________________ Province/State___________ Postal/Zip
Code______________
Website_______________________________ E-Mail Address
__________________________
Line of business ___________________________ Number of years in
business________
Legal form of business: _____Proprietorship, _____Partnership,
_____Corporation
If company is a subsidiary, please provide name of parent
company_______________________
If there is litigation against this company at this date, please provide
details___________________________________________________________________________
_________________________________________________________________________________
Credit Information
Name of bank and
branch________________________________________________________
Contact_________________________ Phone # ________________Fax #
________________
Major Trade References (Suppliers NOT
Service Companies)
1. Name of supplier____________________________Address____________________________
City__________________________ Prov/State ______________________
Phone____________________ Fax ____________________
2. Name of supplier____________________________Address____________________________
City______________________ Prov/State ______________________
Phone____________________ Fax ____________________
3. Name of supplier____________________________Address____________________________
City______________________ Prov/State ______________________
Phone____________________ Fax ____________________
| Signature: |
________________________________
Authorized Signature
________________________________
Print Signature |
Title:______________________________
Date:____________________________
|
CREDIT APPLICATION
AND AGREEMENT TERMS AND CONDITIONS
The Customer authorizes RoofGenius Company to obtain such information
regarding the Customer in connection with the credit hereby applied for
and the Customer consents to the disclosure at any time of any
information concerning the Customer from any credit reporting agency or
credit grantor with whom the Customer has financial relations.
RoofGenius Company may retain this application for its records.
The Customer makes the foregoing confidential application for credit,
with the understanding that RoofGenius Company will be relying upon it
for the purpose of the Customer obtaining merchandise on credit from
RoofGenius Company.
This is an Application and Agreement for credit and shall apply to
any and all credit extended by RoofGenius Company. The Customer
understands and agrees to the following terms and conditions of sale.
- Terms of sale are net 30 days. Agents or representatives of
RoofGenius Company are not authorized to change or adjust the credit
terms without the written authorization of the credit manager.
- All claims against invoices must be made within 30 days after
receipt of goods.
- All invoices are to be paid promptly according to the credit
terms established. Failure to comply with the credit terms
established may result in cancellation of credit privileges without
notice.
- A Service Charge of $20.00 will be applied to the account for
any Dishonored (Returned ) Checks.
- Accounts not paid by the due date are subject to an interest
charge from the date of maturity at the rate of 2% per month (24%
per annum).
- Goods may not be returned without prior authorization of
RoofGenius Company.
- Goods / merchandise authorized for return will be subject to a
minimum 25% restocking charge.
- Applicant agrees to bear all costs incurred in collecting any
unpaid account balances including but not limited to collection suit
fees, legal fees and court costs.
- Upon obtaining information that the Customer's credit
worthiness has changed adversely or does not satisfy the current
credit standards, RoofGenius Company may adjust the credit limits
accordingly.
Signature:
Print Signature |
________________________________
Authorized Officer
________________________________ |
Title:______________________________
Date:____________________________
|