| BUYnSHOP.com |
| 3900 Valley Blvd #i , Walnut, CA 91789 |
| E-Mail:
sales@buynshop.com |
|
New Account Application |
| Business Information | Description Of Business | ||
| Name of Business |
Type of Business | ||
| Legal Name (If
Different From Above) |
Credit Requested | ||
| Address |
|
||
| City |
Business Structure ( ) Corporation ( ) Partnership ( ) Proprietorship |
||
| State
Zip Code |
( ) Division/Subsidiary | ||
| Phone
Fax |
( ) Parent Company (if any) |
|
Company Principals Responsible For Business Transactions |
|||
| Name |
Title | Address | Phone |
| Name |
Title | Address | Phone |
| Name |
Title | Address | Phone |
|
Bank References |
||
| Bank Name |
Contact
Name |
|
| Address |
Phone | Fax |
|
Checking Account No. |
||
| Other
Account No. (If Any) |
||
|
Trade References |
|||
| Firm Name |
Contact Name | Phone | Fax |
| Firm Name |
Contact Name | Phone | Fax |
| Firm Name |
Contact Name | Phone | Fax |
|
Confirmation Of Information Accuracy And Release Of Authority To Verify |
| I hereby certify that the information in this credit application is correct. The information included in this credit application is to be used to determine the amount and conditions of credit to be extended. I understand that the other sources of credit considered necessary in making the determination may also be used. Further, I hereby authorize the bank and trade references listed in this credit application to release the information necessary to assist in establishing a line of credit . |
| Signature __________________________ |
Title __________________________ |
Date
__________________________ |
|
Policy Statement:
Initial Order From New Accounts Will Not Be Processed |
| BUYnSHOP.com |
| 3900 Valley Blvd #i , Walnut, CA 91789 |
| E-Mail:
sales@buynshop.com |
|
Sales Tax Rules And
Regulations - Resale Certificate Form
|
| To Our Customers: In compliance with Sales and Use Tax Laws it
is necessary that we have from all of our customers a signed re-sale The good faith of the seller will be
questioned if they have knowledge of facts which give rise to a reasonable
Under "Description of property to be
purchased" there may appear |
|
|
________________________________________________________________
ISSUED PURSUANT TO THE SALES AND USE TAX LAW,
THAT I AM ENGAGED IN THE BUSINESS OF SELLING
______________________________________________________ THAT TANGIBLE PERSONAL PROPERTY DESCRIBED
HEREIN WHICH I SHALL PURCHASE FROM BUYnSHOP.com WILL BE RESOLD BY ME IN THE FORM OF TANGIBLE
PERSONAL PROPERTY PROVIDED, HOWEVER, THAT IN THE EVENT ANY OF SUCH PROPERTY
IS USED FOR ANY PURPOSE OTHER THAN RETENTION, DEMONSTRATION, OR DISPLAY
WHILE HOLDING IT FOR SALE IN THE REGULAR COURSE OF BUSINESS, IT IS
UNDERSTOOD THAT I AM REQUIRED BY SALES AND USE TAX LAW TO REPORT AND PAY
TAX, MEASURED BY THE PURCHASE PRICE OF SUCH PROPERTY. DESCRIPTION OF PROPERTY TO BE PURCHASED: |
|
Please include a VOID CHECK! |
| BUYnSHOP.com |
| 3900 Valley Blvd #i , Walnut, CA 91789 |
| E-Mail:
sales@buynshop.com |
|
Authorization To
Release Confidential Information |
____________________________________________________________________________
Bank Name
____________________________________________________________________________
Address
____________________________________________________________________________
Phone
____________________________________________________________________________
Contact Name
Please accept this as authorization to release
information regarding our account
listed below to BUYnSHOP.com for the purpose of extending
credit. I understand that this information will be kept in strictest confidence
between
your organization and BUYnSHOP.com
____________________________________________________________________________
Checking Account #
____________________________________________________________________________
Additional Account #
____________________________________________________________________________
Authorization Officer (Print Name)
Signature
Title
Date
******** FOR BANK USE ONLY********
Account Holder's Name: _______________________________________________________
Checking Account #: ____________________________ Date Opened: ____/____/______
Additional Account #: ____________________________ Date Opened: ____/____/______
Current Balance: ______________________ Average Balance: _____________________
Any NSF Check: __________ YES __________ NO
Loan Information: _____________________________________________________________
Lines Of Credit Extended: _______________________ Outstanding: ________________
Overall Rating/Comments: ______________________________________________________
Prepared By: __________________________________ Title: ______________________
Signature: _____________________________________ Date: ______________________