Credit Application

Required fields to establish a cash account:

Additional required fields for credit terms:

Optional fields:

Any optional information you are able to provide will be appreciated.

Requested By:

Name:

e-mail:

Billing Information:

Company Name:

Street address:

City:

State:

Zip Code:

Country:

Phone:

Fax:

Contact:

e-mail:

Shipping Information:

Company Name:

Street address:

City:

State:

Zip Code:

Country:

Phone:

Fax:

Contact:

e-mail:

Company Information:

Accounts Payable contact:

Sales contact:

Line of business:

Year established:

Size of business (small/large):

Own/Rent/Lease:

Length of time at this present address:

Number of employees:

Anticipated amount of monthly credit:

Name of President:

Name of Secretary:

Name of Treasurer:

Please indicate FL/GA/TN Sales Tax status. Charge Tax: Yes No

(If No, please send us a signed Tax Certificate of Exemption for the current year)

Is Purchase Order Required? Yes No

Trade References:

Company Name:

Street address:

City:

State:

Zip Code:

Country:

Contact:

Phone:

Fax:

e-mail:

Company Name:

Street address:

City:

State:

Zip Code:

Country:

Contact:

Phone:

Fax:

e-mail:

Company Name:

Street address:

City:

State:

Zip Code:

Country:

Contact:

Phone:

Fax:

e-mail:

Thank you for taking the time to provide us with the above information.
Please read our terms below.
By submitting this on-line application, you are agreeing to our terms.

PAYMENT TERMS
Our terms are Net 30 Days, meaning payment is due within 30 days from date of invoice. In case of default of payment, customers agree to collection and/or attorney fees not exceeding 30 percent of amount past due.

RETURNED MATERIAL POLICY
We will normally accept returned material under the following conditions:
1. A copy of the invoice is furnished.
2. The material is returned within 30 days form the date of invoice.
3. The material is in new resaleable condition (unused,unmounted, unpainted, etc).
4. The material is normal stock for us (not special order).Returned material, like all other purchased material, should be paid for when due.

RETAINED TITLE
(Our invoice contains a retained title and warranty as follows):
The buyer hereby grants to Industrial Global Sales a security interest in the equipment described in this invoice. To secure the debtor's payment for the equipment, title to said equipment shall remain in the seller until payment in full is made by the buyer. If the buyer defaults in such payment, the seller may declare all sums payable by the buyer hereunder immediately due payable and the seller may replevin the equipment and or exercise all of the rights and remedies of a secured party under the Uniform Commercial Code. Reasonable attorney's fees of the secured party in enforcing any right or exercising any remedy hereunder upon default of the buyer shall be paid to the seller by the buyer.

WARRANTY
Seller warrants for 90 days from the date of sale that the equipment sold, as described hereon, shall be free from defects in material and workmanship. Seller's liability under this warranty is limited to repair or replacement of any part or parts of said equipment which shall be returned to seller, shipping charges prepaid and which seller's examination discloses to it's sole satisfaction to be defective. This is seller's only warranty. By accepting the equipment under this warranty, buyer acknowledges that said equipment is being sold under no other written or oral warranties, neither expressed or implied, of any kind whatsoever such as, but not necessarily limited to, warranty of merchant ability of fitness.

We authorize Industrial Global Sales to obtain information from our bank and from our creditors. We further understand that this information will be confidential.

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