INK SMITH INC.
3352 Milwaukee Avenue Chicago IL 60641
773-777-5825 FAX: 773-777-6131
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APPLICATION FOR CREDIT AND AGREEMENT AS TO TERMS
(Please type or print in ink. Form may be faxed to number above.)
COMPANY / INDIVIDUAL
| Name.................... | Years in business.... | |
| Billing Contact... | ||
| Address............. | ||
| City, State, Zip.. | ||
| Phone................ | Fax..... | |
| Corporation................ | Partnership................. | Individual.............. |
| Incorporated under The State Laws Of:.. | ||
| Resale Certificate Number and State....... | ||
| Type of Business...... | ||
| Names of Principals, addresses, Telephone Numbers, Social Security Numbers...... | ||
| Principal/ address: | ||
| Tel# | SS# | |
| Principal/ address: | ||
| Tel# | SS# | |
| Principal/ address: | ||
| Tel# | SS# | |
BANK / TRADE REFERENCES
| Bank | Contact | |
| Address | ||
| City, State, Zip | ||
| Phone | Fax | Acct # |
| Trade | Contact | |
| Address | ||
| City, State, Zip | ||
| Phone | Fax | |
| Trade | Contact | |
| Address | ||
| City, State, Zip | ||
| Phone | Fax | |
| Trade | Contact | |
| Address | ||
| City, State, Zip | ||
| Phone | Fax |
The undersigned certifies the above information is correct and authorizes and directs the above referenced bank and trade references to verify said information to INK SMITH, INC. on request. The undersigned acknowledges that it has read and agrees to be bound to the terms on the reverse side of this agreement.
| Signed by a Principal _____________________________________ | Date _____________ | |
| Print Name _____________________________________________ |
INK SMITH INC.
TERMS AND CONDITIONS OF SALE – EFFECTIVE APRIL 1, 1995
The customer requests that INK SMITH INC (hereinafter called INK SMITH) sell goods on account in consideration of which the customer and INK SMITH agree as follows:
If the customer fails to pay pursuant to the terms of this agreement and INK SMITH elects to take legal action to collect this account, the customer shall pay all costs incurred by INK SMITH including, but not limited to, attorney’s fees, and other costs associated with collection. The customer assigns it’s existing and hereinafter created accounts receivable as security for any indebtedness incurred to INK SMITH under this account.
The customer authorizes any of its employees it sends to INK SMITH for pickup of materials to sign delivery receipts and agrees to be bound by the terms of the receipt. Customer agrees to inspect all material immediately upon delivery to verity (a.) the quantities delivered are the quantities described in the accompanying delivery ticket and (b.) there are no visible defects in the material. Unless the customer gives INK SMITH written notice by certified mail, return receipt requested within three (3) days of delivery, the customer waives any claim he may have against INK SMITH for a determinable deficiency or defect in said delivery or product and any objection he may have to the amount of the invoice.
The parties agree that this is the entire agreement and that no oral representation or agreement has been made which would modify this agreement.