Credit application

COMPANY INFORMATION

    • Address 1

    • Address 2

 

OFFICERS/PRINCIPALS OF COMPANY

 

PRIMARY CREDIT REFERENCES

 

BANK INFORMATION

  • * PLEASE NOTE: RESPECTFULLY, FOR ALL CUSTOMERS, IT IS A REQUIREMENT THAT WE KEEP A VALID, UP-TO-DATE CREDIT CARD NUMBER FOR YOU ON FILE AT ALL TIMES -OTHERWISE, ALL CUSTOMERS MUST PRE-PAY BY "CERTIFIED FUNDS" BEFORE ORDER IS SHIPPED/DELIVERED.
 

CREDIT AGREEMENT

  • The applicant named hereby makes
    • The applicant named hereby makes application to credit and provides the information herein, which is warranted to be true and correct for the purpose of having AHD, Inc. make periodic sales of goods and materials. In consideration thereof, it is agreed and understood that - 1) The undersigned is an authorized agent of the applicant and is duly empowered to enter into and make binding agreements on its behalf; 2) Payments shall be made to AHD at 685 Branch Drive, Alpharetta, Georgia 30004; 3) A Purchase Money Security Interest in all goods and materials purchased shall be retained by AHD, Inc. until payment in full has been received; 4) In the event of default of payment when due, or any other dispute between the parties, the prevailing party. in addition to any other relief which the court may grant, shall be entitled to reasonable attorney's fees and actual cost; 5) The applicant agrees to pay a LATE PAYMENT CHARGE equal to 1-1/2% per month as liquidation damages for each day that payment is delayed beyond the agreed upon terms; 6) All claims must be made WITHIN 15 days upon receipt of goods. In the event of a dispute or litigation between the parties, it is hereby agreed that jurisdiction and venue shall vest in the County of Forsyth and that the laws of the State of Georgia shall apply. We hereby authorize AHD or its agent to secure a credit report and agree to the release of credit information. This Authoriz-ation shall be continuing without expiration, and a photocopy or fax copy shall be given the same as the original. In return for the extension of credit the undersigned hereby jointly and severally personally guarantee to pay and be respon-sible for payment of all amounts due. Seller by Applicant, including collection charges and/or attorney's fee. The undersigned hereby waives notice of default or non-payment. Seller shall be entitled to look to the undersigned for full payment without prior demand, notice of seeking recourse against any other party. It is further agreed that the laws of the State of Georgia shall apply and that in the event there is litigation commenced to enforce this guarantee. The proper jurisdiction shall be in the County of Forsyth .
    • * AS AN AHD CUSTOMER, I AUTHORIZE THAT THE CREDIT CARD NUMBER ON FILE BE USED TO SECURE PAYMENT ON MY ORDERS AT THE TIME EACH ORDER IS SHIPPED/DELIVERED.
    • * AS AN AHD CUSTOMER, I REQUEST THAT I BE NOTIFIED BEFORE EACH ORDER IS SHIPPED/DELIVERED. TO ADVISE AHD WHETHER TO USE THE CREDIT CARD NUMBER ON FILE, OR AN ALTERNATE METHOD OF PAYMENT (ANOTHER CARD, CASH, CHECK, OR MONEY ORDER).
    • ** IF PAYMENT OR AUTHORIZATION OF PAYMENT IS NOT RECEIVED IN A TIMELY MANNER, AHD WITHHOLDS THE RIGHT TO AUTOMATICALLY CHARGE THE BALANCE DUE TO THE CREDIT CARD
    • NUMBER ON FILE **
     

    • ADDRESS ON RECORD FOR CARD/CARDHOLDER (IF DIFFERENT THAN NOTED ON PAGE 1 OF 3…)

 

FOR OFFICE USE ONLY

 

TAX EXEMPTION CARD

    TAX EXEMPTION

  • And that tangible personal property described herein, which I shall purchase from AHD, will be resold by me in the form of tangible personal property. PROVIDED, however that in the event any of such property is used for any purpose other that retention, demonstration, or display while holding it for sale in the regular course of business, it is understood that I am required by the Sales and Use Tax Law to report and pay for the tax, measured by the price of such property.

    • FOR OFFICE USE ONLY

 

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