Please attach 608 EPA Certification Compliance Statement and copies of EPA...

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Transcript of Please attach 608 EPA Certification Compliance Statement and copies of EPA...

  • Accounts Payable Contact

    Type of Business

    For Partnership

    Sole Proprietorship

    Street Address

    Full Name of Owner(s)

    E-Mail

    Firm Name

    AC Pro CREDIT APPLICATION AND AGREEMENT

    Phone

    Fax

    State Zip

    (or an Authorized Officer of the Corporation) Spouse's Name

    (Individual Only)

    (Home Address and Phone Number)

    (Home Address and Phone Number)

    Check one: Date Started If Corporation Tax Id #

    Estimated Monthly Purchases

    TRADE REFERENCES NAME

    Name of Bank Account number Phone Street City State Zip

    Check One: State law require that we have a certificate of resale completed to sell any merchandise on a tax-exempt basis

    CERTIFICATE OF RESALE - COMPLETE APPENDIX "A" FOR CALIFORNIA RESALE CERTIFICATE

    TERMS AND CONDITIONS The undersigned represents that the information supplied above is true and correct. Should Material Supply Incorporated extend credit to the undersigned they agree to the following:

    A. Releases consent to AC Pro to investigate credit history & use of outside credit reporting services to obtain information, and authorize all references including named bank/financial institutions to provide credit information to AC Pro

    B. Invoices are to be paid 30 days from invoice date. Invoices not paid within 30 days will be accessed a finance charge of 1½ %. C. Agrees to pay all expenses, attorney's fees and interest arising from any litigation required to enforce collection of this account. D. Jurisdiction of any action hereunder is hereby fixed in San Bernardino County, State of California. E. Give written notice of any change in principals, name, legal identity or authorized purchasers 15 days before such change. F. No terms or conditions of purchase orders different from the terms of MSI will become part of any sales agreement, purchase order, or

    other document unless specifically approved in writing by AC Pro. G. No items will be accepted for return without prior approval from AC Pro All returns are subject to a restocking charge.

    The undersigned has read the above conditions and provisions of the agreement and upon subscription thereof, personally guarantees payment to AC Pro its assigns or successors in interest, any and all sums due and owning for the purchases of merchandise and/or services.

    (Individually)

    PARTIES AGREE TO ACCEPT A FAXED COPY OF THIS CREDIT APPLICATION AS AN ORIGINAL DOCUMENT

    ***** FOR OFFICE USE ONLY. DO NOT WRITE BELOW THIS LINE *****

    Revised 10/20

    11700 INDUSTRY AVENUE ~ FONTANA, CA 92337 PH: 951 - 361 - 7673 FAX: 951 - 361 - 4980

    CorporationSole Proprietorship Partnership

    License # & Classification RME

    Credit Manager E-Mail/Fax#

    Charge Tax Do Not Charge Tax

    Dated Signed:

    Print Name

    TM

    City

    Branch:

    *Please attach 608 EPA Certification Compliance Statement and copies of EPA cards.(CA Requirment for sales of refrigerant.

    MATERIAL SUPPLY INCORPORATED

    MATERIAL SUPPLY, INC.

    D:20100929135242- 07'00'

    D:20100929135406- 07'00'

    ..\..\..\Documents\speck\My Documents\My Pictures\ACP_Logo_Oval.jpg

    AC Pro

    CREDIT APPLICATION AND AGREEMENT

    (or an Authorized Officer of the Corporation)  

    (Individual Only)

    (Home Address and Phone Number)

    (Home Address and Phone Number)

    Check one:

    TRADE REFERENCES

     NAME 

    Check One: 

    State law require that we have a certificate of resale completed to sell any merchandise on a tax-exempt basis

    CERTIFICATE OF RESALE - COMPLETE APPENDIX "A" FOR CALIFORNIA RESALE CERTIFICATE

    TERMS AND CONDITIONS

    The undersigned represents that the information supplied above is true and correct. Should Material Supply Incorporated extend credit to the 

    undersigned they agree to the following: 

    A.

    Releases consent to AC Pro to investigate credit history & use of outside credit reporting services to obtain information, and authorize all 

    references including named bank/financial institutions to provide credit information to AC Pro

    B.

    Invoices are to be paid 30 days from invoice date. Invoices not paid within 30 days will be accessed a finance charge of 1½ %. 

    C.     Agrees to pay all expenses, attorney's fees and interest arising from any litigation required to enforce collection of this account. 

    D.     Jurisdiction of any action hereunder is hereby fixed in San Bernardino County, State of California. 

    E.

    Give written notice of any change in principals, name, legal identity or authorized purchasers 15 days before such change. 

    F.

    No terms or conditions of purchase orders different from the terms of MSI will become part of any sales agreement, purchase order, or 

    other document unless specifically approved in writing by AC Pro.

    G.     No items will be accepted for return without prior approval from AC Pro All returns are subject to a restocking charge. 

    The undersigned has read the above conditions and provisions of the agreement and upon subscription thereof, personally guarantees payment to AC Pro

    its assigns or successors in interest, any and all sums due and owning for the purchases of merchandise and/or services. 

    (Individually)

    PARTIES AGREE TO ACCEPT A FAXED COPY OF THIS CREDIT APPLICATION AS AN ORIGINAL DOCUMENT

    *****

    FOR OFFICE USE ONLY. DO NOT WRITE BELOW THIS LINE

    *****

     Revised 10/20

    11700 INDUSTRY AVENUE ~ FONTANA, CA 92337

    PH: 951 - 361 - 7673

    FAX: 951 - 361 - 4980

    Credit Manager

    E-Mail/Fax#

     *Please attach 608 EPA Certification Compliance Statement and copies of EPA cards.(CA Requirment for sales                                      

       of refrigerant.

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