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Anthuriums International Inc. |
CUSTOMER INFORMATION /CREDIT SHEET
Name of Business ___________________________________________ Years in Business___________
Business Address: (No P.O. Boxes)________________________________________________________
City___________________________________________ State______________ Zip__________________
Phone:________________________________________ Fax: ___________________________________
Type of Business: (1)Individual___ (2)Partnership___ (3)Corporation___ Resale Tax#:___________
Federal Identification #______________________ If Incorporated: Date of Incorporation_________
Owner, Partnership or
Corporation Officers:
Name____________________________ Title__________________ Home
Phone__________________
Home Address_________________________________________ Soc. Sec #______________________
Name____________________________ Title__________________ Home Phone__________________
Home Address_________________________________________ Soc. Sec #______________________
Do you Own___ or Rent____ your building? If Renting from whom do you rent?
Name_______________________________________________ Phone___________________________
Address_______________________________________________________________________________
Bank: Name _______________________________________ Phone_____________________________
Address_______________________________________________________________________________
Checking Account #_____________________________ Officer Name___________________________
Industry References:
Name___________________________________________________
Phone_______________________
Address_______________________________________________________________________________
Name___________________________________________________ Phone_______________________
Address_______________________________________________________________________________
Name___________________________________________________ Phone_______________________
Address_______________________________________________________________________________
Please feel free to attach any further information on your organization
Terms of Sale: 2%/10, n30 days for those with open accounts. All other invoices are due upon receipt. Interest will be charged at the rate of 1 3/4% per month (21% per annum) on all past due invoices. Customer agrees to pay reasonable attorney's fees, court costs and all other costs of collection after default. All legal action will be tried by the Laws of the State of New Jersey via the New Jersey Courts. If the invoice is past due over 30 days, a collection surcharge of 50% will be added by a third party collection agency. A service charge of $25 will be made on all returned checks and refused COD's.
| PERSONAL GUARANTEE:
In consideration of any credit extended, I (we or either
of us) will individually and/or jointly guarantee full
and prompt payment of all indebtedness by (firm name)
___________________________________incurred for
merchandise furnished by ANTHURIUMS INTERNATIONAL INC.,
plus service charges and collection costs where
applicable. Such guarantee shall remain in force until
its revocation is acknowledged in writing to ANTHURIUMS
INTERNATIONAL INC. Such revocation shall not affect
indebtness incurred prior to receipt of written notice.
Individual_____________________________________________________________________________________ |
All accounts are payable at: Name of Firm ____________________________________________________
By_____________________________________________________________________________________
Title______________________________________________________ Date_________________________
CREDIT IS A PRIVILEGE NOT A RIGHT! PLEASE DON'T ABUSE IT.
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