CREDIT APPLICATION - SALES REP ALLISON REDMAN
GOT QUESTIONS? CALL US AT (949) 788-0900 EXT 221, 220 & 207
FAX (714) 862-1008 | EMAIL: CREDITAPP@PROVENZAFLOORS.COM
SALES REPRESENTATIVE: ALLISON REDMAN | SALES REP ID: RED00001
Please fill out the credit application completely. Any missing or incomplete fields may lead to a delay in processing the credit application.
Business Data
PLEASE CHECK ONE. WHAT ARE YOU APPLYING FOR:
PLEASE CHECK ONE. COMPANY IS A:
OWNER(S) | PRINCIPLE(S)
BUSINESS AND CREDIT INFORMATION
TRADE REFERENCE (PLEASE FILL OUT THREE REFERENCES.)
AGREEMENT
The company hereby authorized the above banks to release all information requested. It is understood that all information will be kept confidential.
The representations provided in this Application are complete and accurate. I understand the information provided will be relied upon the evaluation and extension of credit terms. I authorize the release of information by creditors listed above as well as other suppliers. The terms and condition of this Application shall, upon extension of credit by the Company, constitute an agreement of sale. The Application agrees to be bound to the terms stated on the Company’s invoice. The failure to pay on the due date of each invoice shall deem the debt to be delinquency; all collection expenses and attorney’s fees in connection with the collection of the delinquent debt shall be due and payable by the Applicant. The interpretation of this agreement shall be subject to the laws of the State of California, and any necessary legal action shall be brought in Orange County, CA.
(Arbitration Clause)
The company and the Applicant agree that any claim or dispute between or among them, their agents, employees, successors or assigns, related to this Application, the credit extended thereafter or otherwise (other than the exercise of rights under security interests created by purchase or otherwise), including disputes related to the applicability of this Agreement, regardless against whom made, shall be resolved by binding arbitration by and under either (a) the Code of Procedure of the National Arbitration Forum or (b) American Arbitration Association. This Agreement shall be subject to and interpreted under the Federal Arbitration Act.
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Document Name: CREDIT APPLICATION - SALES REP ALLISON REDMAN
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