Company Name: ______________________________________________

Phone: (______) ___________________

Bill To: ___________________________________________________________

Fax: (______) ___________________

Ship To:______________________________________________________________

City:_______________________________________ State:_______________________

Zip:__________________

Federal I.D. Number or Social Security Number: _____________________________________________

State Tax Number (WA State Corporations Only): _____________________________________________

 

Business Type: Proprietorship ( ) Partnership ( ) Corporation ( )

Please fax only the first page of your most recent bank statement.

 

TRADE REFERENCES: *

1. Name: _____________________________ Address: ______________________________________________

Account Number: ___________________________

City/State/Zip:_______________________________________

Phone: (____)__________________

Fax: (_____)________________ Contact:________________________________

 

2. Name: _____________________________

Address: ___________________________________________________

Account Number: ___________________________

City/State/Zip:_______________________________________

Phone: (____)__________________

Fax: (_____)________________ Contact:________________________________

 

* Please include Trade References with whom you have terms and have done business for over a year.

Credit Limit Requested:_____________ Retail Exempt:_________________

If Yes, please attach State Retail Certificate.

Credit Agreement

All invoices are due Net 30 days from the date of invoice. As a condition of sale, a monthly service charge of 1.5% will be assessed on all accounts not paid within terms. Pacific Coast Sign Supply, Inc. may at its sole discretion and without any advance notice cease the further extension of credit. Applicant agrees to pay reasonable attorney’s fees and other costs in the event of default. In support of this credit application, the application, the Applicant authorizes Pacific Coast Sign Supply, Inc. to obtain personal and/ or business credit reports.

 

STANDARD TERMS AND CONDITIONS

We urge all buyers to read these terms and conditions

PAYMENT TERMS

All orders will be shipped C.O.D. unless credit terms have been approved by Pacific Coast Sign Supply credit department. Credit terms are revocable. In the event payment terms are not honored, the account will automatically revert to C.O.D. , and/or the Customer will be put on "shipping hold".

F.O.B.

All sales are F.O.B. Portland, Oregon unless specified otherwise when product is ordered.

CANCELLATIONS AND RETURNS (NON-DEFECTIVE)

Pacific Coast Sign Supply reserves the right to deny cancellations or returns. In the event that Pacific Coast Sign Supply authorizes return of merchandise, the merchandise must be returned in resaleable condition; including (but not limited to): original packing materials, cartons and documentation, within 30 days of original invoice. Pacific Coast Sign Supply has the sole discretion to specify these and other conditions for the return of merchandise. Any supplies returned incomplete or without return authorization will be returned to customer. REFUNDS WILL BE MADE ONLY IN THE FORM OF CREDIT TO THE CUSTOMERS ORIGINAL INVOICE ON ACCOUNT.

All merchandise must be returned in "as new" condition. Ship the product back in its original box and include all packing materials. You will be charged for missing items.

Corporate Officer: ______________________ Date: __________

 

Pacific Coast Sign Supply Looks Forward To Our Business Relationship.

If You Have Any Questions, Please Feel Free To Call.

We are here to help your business grow & succeed.

Thank You,

Talia Reinke