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Dealer Application

Dealer Application

Business Information

* - Item are Required fields

Date:  Monday October 15, 2018    
*Names of Business (Corp/DBA):    
*Business Address:
*City:
*State:
*Zip:
*Phone Number:
Fax Number:
Shipping Address:
City:
State:
Zip:
Phone Number:
Fax Number:
*E-mail Address
*Type of Business
- Corporation
- General Partnership
- Limited Partnership
- Sole Partnership
Other:

*If a Corporation, In Which Sate:

         

*Date of Incorporation
or Date Business Started:

         

*TIN #:

         

*Federal ID #:

         

*Type of Business:

Buyers Name:

Buyers Phone No.:

Rent Premises:

   

Sq. Ft: 

Own Premises:

 

No. of Employees:

*Resale No.:

 
           

*Account Payable Contact:

*Annual Sales:

*Phone No.:

   

*Name of Bank:

   

*Branch Name:

*Branch Officer:
*Bank Address: *City:

*Zip:

 
   
*Branch Phone No.:
   
*Checking Account No.:
*Savings Account No.:
   
   

 

Ownership Information

Corporation: (List Officers), Partnership (List All Partners), Proprietor(s) - Full Name(s):    
         
         

*Name (President):

*Soc.Sec.No.

*Home Address:

*City:

*State:

*Zip:

*Phone No.:

Fax No.

 

*Name (Vic President):

Soc.Sec.No.

*Home Address:

*City:

*State:

*Zip:

*Phone No.:

Fax No.

 

*Name (Treasurer):

*Soc.Sec.No.

*Home Address:

*City:

*State:

*Zip:

*Phone No.:

Fax No.

*Name (Secretary):

*Soc.Sec.No.

*Home Address:

*City:

*State:

*Zip:

*Phone No.:

Fax No.

         
         


 

Trade References

 

 1

*Name:

*Account No.

*Address:

*City:

*State:

*Zip:

*Phone No.:

Fax No.

 

 

 2

*Name:

*Account No.

*Address:

*City:

*State:

*Zip:

*Phone No.:

Fax No.

 

 

 3

*Name:

*Account No.

*Address:

*City:

*State:

*Zip:

*Phone No.:

Fax No.

 

 

 4

Name:

Account No.

Address:

City:

State:

Zip:

Phone No.:

Fax No.

 

 

 5

Name:

Account No.

Address:

City:

State:

Zip:

Phone No.:

Fax No.

 

 

 6

Name:

Account No.

Address:

City:

State:

Zip:

Phone No.:

Fax No.

         
         

 

GENERAL PROVISIONS & AUTHORIZATION

As consideration for any extension of credit that may be granted by Marquis Collection (hereinafter “Creditor”) to the Applicant herein, the applicant agrees to be bound by all of Marquis Collection’s “Terms and Conditions of Sale.”  Applicant agrees to advise Creditor of any defective product within 10 days of said transaction, together with a written statement specifying the reasons for such dispute.  Failure to notify Creditor of any dispute shall constitute acceptance and waiver of any and all such disputes. 

 Creditor may at any time, without notice, cancel all credit available to Applicant and refuse to make any further credit advances.  In the event Creditor determines the information contained in this Credit Application is false or misleading of any kind or nature, Creditor may without further notice cancel any orders in house, or any deliveries in progress to Applicant.  Any false or misleading information by Applicant shall be construed as a material default, and any invoices outstanding shall become immediately due and payable in full.

 This agreement has been entered into and is to be performed in the County of Los Angeles, State of California, and any action brought hereunder shall be brought in said County and State at the option of and at the sole discretion of the Creditor.

 Applicant hereby authorizes Creditor to contact any and all banks, credit references and/or trade references listed herein and further authorizes said banks, credit references and/or trade references to provide information requested by Creditor in order to evaluate this application.

 Applicant further agrees, in the event legal action is instituted by Creditor on any unpaid balance, to pay interest at the maximum legal rate on any unpaid balance existing from the date of invoice(s) from Creditor, plus any attorney’s fees and collection costs.  Creditor retains all rights and interests in all products until paid for in full.  Applicant hereby grants Creditor permission to enter storage or installation premises and remove product unless all terms and conditions are met.  I declare under penalty of perjury that the credit application information is true and correct. 

By checking I Agree, I am attaching my electronic signature to and agreeing to the Term & Conditions of Sale for
Marquis Collection of Beverly Hills, CA
I Agree

Terms & Conditions of Sale

 

                                                     
 


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