ISC Credit Application

Application must be filled out completely, signed by the Customer and Personal Guarantor (if any) and received by the Credit Department prior to the first order

Company Name

Date

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone

Email

example@example.com

Do you allow invoices to be submitted by email for payment processing?

YesNo

Email to Send Invoices if Applicable

example@example.com

Number of Years in Business

Federal Tax I.D. #

Type of Business

CorporationPartnershipProprietorship

State of Incorporation

Have you ever filed for bankruptcy, had a lien, and/or had a judgment filed against you?

YesNo

If tax exempt, please enter tax exempt number here

If you have a tax exempt number? (If tax exempt please email the completed tax exempt certificate to accounting@iscscale.com)

Home Office Name

Phone

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Registered Agent or Owner Name

Registered Agent or Owner Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Company Name

Contact

Phone

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Company Name

Contact

Phone

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Company Name

Contact

Phone

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Bank Name

Phone

Account #

Officer Name

Bank Name

Phone

Account #

Officer Name

Are purchase orders required?

YesNo

Do you require your suppliers to perform any reporting on a third party website/portal?

YesNo

If you answered Yes to the above question complete A-E

A) What is the website address?

B) Will invoicing be submitted through this third party website/portal?

YesNo

C) Will contracts and purchase orders be processed through this third party website/portal?

YesNo

D) Will the supplier be responsible for payment for the third party website/portal services?

YesNo

E) If the supplier is to be responsible for the cost of the third party website/portal, what is the cost?

Payment Terms

Net 30 days from the date of invoice. Customer agrees to pay finance charges of 1% interest per month on all past due amounts. Customer also agree to pay all costs incurred by Industrial Scale Company, Inc. in collecting delinquent amounts, if any, including reasonable attomey's fees.

Credit

All orders sold on credit are subject to Credit Department approval.

Return Policy

No products are to be returned to Industrial Scale Company, Inc. without approval and the receipt of shipping instructions for return of goods. Returned products which will be accepted by Industrial Scale Company, Inc. are subject to a minimum billing charge of 10% of the net sale price. plus any transportation/freight charges paid by Industrial Scale. All products must be properly packed to reach Industrial Scale Company, Inc. without damage. Any damage incurred by improper packing shall be the responsibility of the purchaser. Any cost incurred due to repair or return of products to first class condition will be charged to the purchaser.

Authorization

Industrial Scale Company, Inc. sales representatives are not authorized to modify these

Credit Card Payments

There will be a 3% convenience fee for all credit card charges.

Rental Terms (If applicable)

GUARD AGAINST LOSS, THEFT & DAMAGE. Customer agrees to pay for and maintain rentaL and lease equipment insurance that covers against theft, loss of and damage to the equipment for the full replacement value of the equipment until equipment is returned. Customer agree they are responsible for any loss, theft and damage to the equipment until the equipment is returned. The customer agrees to indemnify Industrial Scale Company, Inc. in the event the equipment is lost, stolen or damaged. All prices are subject to change without notice. Rates are prorated on a 5 day basis after 1st week's rental. Delivery prices are for deliveries within Houston city limits and deliveries made outside the city of Houston will be time + mileage.

By signing below I have the authority to agree and do so agree to all the terms and conditions stated on this credit application. In consideration of Industrial Scale Co., Inc. granting credit applicant and personal guarantor hereby agree that all transactions made pursuant hereto shall be governed by Industrial Scale Company, Inc.: standard terms and conditions of sale printed above.

Company Name

Printed Name

Title

Phone

Email

example@example.com

Signature

Clear

Date

I hereby personally guaranty the payment of the account as stated above

Signature

Clear

Date

APPLICATION FOR CREDIT

PHYSICAL ADDRESS

BILLING ADDRESS

TAX EXEMPT

HOME OFFICE (IF APPLICABLE)

REGISTERED AGENT

BUSINESS REFERENCES

BANKING REFERENCES

CUSTOMERS REQUIREMENTS

CUSTOMER SIGNATURES

PERSONAL GUARANTY