Team Horner C.O.D. Account Application
|
 |
| Application ID: |
3712 |
| Date: |
Oct 17, 2023 |
| Which division are you applying for? |
AquaCal AutoPilot, Inc. |
Applicant’s Information
Company Information
| Your Company Name: |
Testing COD 1 |
| Company D.B.A.: |
Not Provided |
| Federal ID#: |
1234567890 |
| Business Entity: |
Corporation |
| In Business Since (Year): |
2001 |
| Business Type: |
Retail |
Physical Address
| Street Address |
1608 Southwest 10th Court Fort Lauderdale, Alabama 33312 |
| County: |
Not Provided |
| Office Phone Number: |
123-456-7890 |
| Office Fax Number: |
Not Provided |
| Website/URL: |
Not Provided |
Billing Address
The billing address is the same as the physical address.
Shipping Address
The shipping address is the same as the physical address. The shipping address is the same as the billing address.
Employee Contact Information
First Officer
| Name: |
Ish Ram |
| Street Address: |
1608 Southwest 10th Court Fort Lauderdale, Alabama 33312 |
| Office Phone: |
123-456-7890 |
| Cell Phone: |
Not Provided |
| Email Address: |
iramos@teamhorner.com |
Delivery Release Authorization
I/We authorize Team Horner Group Inc., including all of its subsidiaries and affiliated companies, as may now or hereafter to exist to make deliveries, including warehouse and job-site deliveries without a signature. I/We agree to pay all invoices related to these unsigned deliveries in accordance with the stated payment terms on this account.
I acknowledge that I have read and agree with the terms of the delivery release authorization, and confirm that my information attached to this statement is correct.
Printed Name: Ish Ram
Date: 10/17/2023
Terms and Conditions of Agreement
i) The undersigned Customer agrees that all purchases made under the Team Horner Group Inc., including all of its subsidiaries and affiliated companies may now or hereafter exist, are subject to the conditions set forth in this credit application as well as the following terms set forth. ii) All amounts due to Seller are payable in accordance with the payment terms granted by Seller’s credit department for all companies. Deliveries may vary by location but are all subject to the location of purchase. If any amount due Seller is not paid in accordance with the payment terms, the customer will pay interest on the full open balance on the account at the maximum rate allowed by law in the location of purchase on any past due balance. iii) The Customer warrants to seller that all financial information furnished for the purpose of obtaining credit is true, correct and complete in all materials respects, and Purchaser authorizes Seller to investigate all references furnished pertaining to the credit and financial responsibility of Purchaser. iv) This Credit Application and Personal Guaranty(s) shall apply to all transactions between customer and Team Horner Group, Inc., including all of its subsidiaries and affiliated companies, as may now or hereafter exist. In the event the account is turned over to an attorney, or other agency for collection, or suit is filed, the Customer will pay all costs of collections and attorney’s fees. If any litigation between the parties arises, the parties agree that jurisdiction and venue shall be in a court of appropriate jurisdiction in Broward County Florida, or if out of State, in the County of that Business location. v) ALL PARTIES OF THIS AGREEMENT HEREBY WAIVE THE RIGHT OF TRIAL BY JURY FOR ANY DISPUTES ARISING OUT OF THIS AGREEMENT OR ANY DISPUTES BETWEEN THEM. vi) The Customer will, within ten days after any change of ownership or business structure, notify Seller by certified mail, return receipt requested. The Customer will remain liable to Seller for all credit purchases of the new owners’ business until timely notification is received by the Seller. All notices to Seller must be directed to our branch location in which you do business and to our Corporate Headquarters: Team Horner Group, Inc. Attention: Credit Department, 5755 Powerline Road, Fort Lauderdale, FL 33309. vii) All products sold by Team Horner Group, Inc., and its subsidiaries and affiliated companies, are covered under warranty as so stipulated by the product manufacturer warranty and are the sole responsibilities of the manufacturer. Team Horner Group, Inc., or its subsidiaries and affiliated companies, are not responsible for the cost of labor, transportation or other consequential charges and/or losses. We will endeavor to work with you and the manufacturers to facilitate handling warranty problems, however, the ultimate responsibility for resolving warranty problems rests solely with the manufacturer. viii) If sales tax is not proven to be exempt or confirmed to be accurate, sales tax will be charged back to the customer. It is solely the responsibility of the customer to produce a Sales Tax Exemption Certificate to us on a yearly basis and in a timely manner. ix) If required, you will be asked to submit Financial Statements to increase your line of credit. This information will be kept strictly confidential between both parties. x) This Application Agreement may be delivered by electronic transmission or facsimile which shall be deemed to be an original between all parties. xi) Credit Line is issued based on your credit worthiness and purchases made with Team Horner Group, Inc. If you make a purchase that exceeds your credit line we will treat your purchase as a request for an increase. We reserve the right to refuse any requested increase in credit and will notify you if refused. We also reserve the right to decrease your credit line.
I acknowledge and agree to the terms and conditions above.
Signature:
Printed Name: Ish Ram
Date Signed: October 17, 2023
Tax Exemption
I have indicated that I am tax exempt and will attach my certificate of exemption to this application.
File Uploads: