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Reseller Agreement

Name / Address

  
  

Company Information

Corporation
Partnership
Proprietorship
Other
  
 
  
   

Bank References

 
 
  

Trade References

List 3 with whom you have conducted business for more than 1 year

  
 
  
 
  

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I understand that terms for payment are Net 30 Days from the invoice date. Late payment is not acceptable. A service charge of 1.5% per month may be assessed on past due balances. In the event that my account is forwarded to a collection agency and / or attorney, we agree to reimburse all fees and costs of collection. In addition, all sales are non-refundable. By electronically clicking this box and entering your name you are certifying your acceptance of the above terms.

I agree -