Trade Partner Application
BUSINESS CONTACT INFO
Account Owner
*
Contact Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Company Name
*
Registered Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Website
Fax Number
Please enter a valid phone number.
Number of years in business
Business Type
*
Sole Propriotorship
Partnership
Corporation
Type option 4
Federal Tax ID
*
BUSINESS TRADE REFERENCES
Company Name (Trade Ref 1)
*
Type of Account
*
Contact Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Fax Number
Please enter a valid phone number.
Company Name (Trade Ref 2)
*
Type of Account
*
Contact Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Fax Number
Please enter a valid phone number.
Tax Resale Certificate
*
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PURCHASING CONTACT
Name
*
First Name
Last Name
Title
*
Email
*
example@example.com
Office Phone Number
*
Please enter a valid phone number.
Mobile Phone Number
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
ACCOUNTS PAYABLE CONTACT
Name
*
First Name
Last Name
Title
*
Email
*
example@example.com
Office Phone Number
*
Please enter a valid phone number.
Mobile Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
ELECTRONIC BILLING
Name
*
First Name
Last Name
Email
*
example@example.com
AGREEMENT
Payment Terms All invoices are due and payable within thirty (30) days from the invoice date unless otherwise agreed to in writing by Realstone Systems. Late Fees & Past Due Accounts Accounts not paid in full by the 31st day after invoice date will be considered past due and will accrue a late fee. Late fees will be calculated at 1.5% per month (18% annually) or the maximum rate permitted by law, whichever is less, applied to the outstanding balance until paid in full. Suspension of Credit / Hold of Orders Realstone Systems reserves the right to place orders on hold, suspend credit privileges, or convert an account to prepaid / COD status if an account becomes past due or exceeds an approved credit limit. Collection Costs Customer agrees to pay all collection fees, legal expenses, and reasonable attorney’s fees incurred in the recovery of past due balances. Disputed Invoices Any disputed invoice must be submitted in writing within 10 days of receipt. Undisputed portions must be paid according to standard terms. Acceptance Placement of an order or receipt of goods constitutes acceptance of these credit terms.
Name
*
First Name
Last Name
Title
*
Date
*
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Month
-
Day
Year
Date
*
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