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Requested:
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$
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I intend to
place an order...
ASAP!
During the next 30 days.
After 30 days.
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Company
Name:
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Address:
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City:
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State/Zip:
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Applicant's Name:
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E-mail:
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Phone:
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FAX:
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A/P Contact:
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Title:
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Type of Business:
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SIC:
Date Started:
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Officers:
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P.O.'s
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Is Purchase Order
Required?
Yes
No
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Billing Instructions:
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Name of four (4) commercial establishments with whom you are presently
doing business on an open account basis:
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Company
Name:
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1.
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2.
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Phone:
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Address:
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City:
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State/Zip:
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Company
Name:
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3.
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4.
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Phone:
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Address:
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City:
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State/Zip:
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Bank Name:
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Phone:
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Address:
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City:
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State/Zip:
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Account
No.:
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Loan
Officer:
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I am furnishing the foregoing information for the purpose
of obtaining credit. I authorize you to investigate our record
and report to proper persons and bureaus, our performance of this
agreement.
In consideration of AWC, Inc. selling merchandise and service to
my company on credit and an open account basis; we
agree to following terms and conditions regarding all purchases
made by us or on our behalf.
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1.
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Terms
of payment are net 30 days from date of invoice. If payment
for the full amount of all purchases is not made within thirty
(30) days of each invoice, a Finance Charge of 1-1/2% per month
(annual percentage rate of 18%) or the highest rate allowed
by law will be added to the past due balance.
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2.
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In the
event that it becomes necessary to place this account in the
hands of an attorney and/or collection agency for collection
and/or suit; my company agrees to pay not only all such indebtedness,
but will also pay any interest on the unpaid principal
balance, all cost and expenses incurred by AWC, Inc. in
collecting or attempting to collect such indebtedness
including, but not limited to, collection agency cost,
reasonable attorney's fees (which may be up to 35% of the
indebtedness), all court cost, lien or foreclosure expenses,
asset search fees, and any and all other costs of collection
or enforcement of any judgments. My Company does agree to transpose any
legal transactions within the jurisdiction of AWC, Inc.'s
home office located in Baton Rouge, Louisiana.
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3.
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AWC, Inc. reserves the right to place any account on a (COD) Cash on
Delivery basis at any time.
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4.
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Return
merchandise will be subject to a restocking charge.
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