New Account Information

Business Name:

Mailing Address:

City:

County:

State:

Zip:    

Phone:

Fax:

Other Number:

E-mail:

Federal I.D. # or SS#:

Date Company Started:

Sales Exemption #:

Description of Business:

Ownership:     Corporation      Partnership      Proprietorship

Officers, Partners, Owners:

Purchasing Agent:

Accounts Payable Contact:

Credit Information

The person, corporation, or firm, whose name appears on the credit application, and to whom an open line of credit is extended, will be notified in writing, advising of the amount of credit extended. All applications approved for credit are governed by the following:

1. No shipment will be made to any account, on an open basis, that will cause an account to exceed the established line of credit.
2. If an account reaches 60+ days past due, orders are subject to hold until the account is current.
3. A service charge on the past due balance will be charged.
4. A $25.00, or 5% of the check amount, handling charge is assessed to checks returned marked NSF.
5. That the foregoing statements and accompanying financial statements are correct and were provided to induce Damar to extend open credit to the person, firm, or corporation applying.
6. That payments will be made in accordance with the terms so stated on each invoice.
7. That in the event of non payment and the institution of legal proceedings, the person, firm, or corporation to whom an open account was extended agrees to bear the expense of all legal proceedings plus a reasonable attorney's fee.
8. That advance notice will be given to Damar of any change in the business structure. In other words incorporation, changed ownership, etc. That without such notice the original principals to whom credit was extended shall remain liable. Notice to be given by certified or registered letter and acknowledged by return receipt.
9. Credit policies are subject to change at the discretion of the credit department. Upon acceptance of this application, and the issuance of an open line of credit, THE APPLICANT agrees to abide by the credit policies of Damar.
10. That permission is granted as evidenced by my / our signature(s) below, for Damar or its agents to contact the references listed hereon, or any other source for the purpose of obtaining credit information. That the creditor, bank, or lending institution contacted has my / our permission to furnish Damar with any and all information requested.

Signature of Officers(s), Partner(s), or Owner(s)

Name:

Title:

Name:

Title:

Name:

Title: