Customer Application 2026

Internal Use & Terms
Internal Use Only (PRL)
Account #:
Rack #:
Sales Rep:
Credit Req.:
Credit Appr.:
Notes:
Terms & Conditions
- Inspect goods within 48 hours; claims within 3 days. No returns without authorization; custom items non-returnable.
- Liability limited to replacement of defective materials only. No labor or consequential damages.
- Delivery dates are estimates only; risk of loss transfers upon delivery.
- Prices subject to change; sales tax applies unless exemption on file.
- Past-due balances subject to 1.5% monthly finance charge.
- Credit subject to approval; PRL may obtain credit reports.
- Customer responsible for collection costs including attorney fees.
- Customer responsible for verifying all order details.
- Warranty covers materials only; excludes misuse or improper installation.
- Email or electronic orders are binding.
- Submission constitutes acceptance of these terms.
Signatures
Customer Signature:

Clear
Date:

MonthDayYear
Date
Printed Name:
Title:

PRL GLASSGLASS FABRICATORS
PRL ALUMINUMARCHITECTURAL METALS
Please Fill In Application Completely
Firm Name
Address
City
State
Zip
Telephone
Fax
Type of Business
How Long
Taxable
Resale # Fax Singed Resale Card
Contract Lic #
Circle One of the Following

CorporationPartnershipSole Proprietor
Term Request
Credit Limit Request (Dollar Amount)
OFFICERS OF FIRM
1.
Position
2.
Position
Authority To Sign Checks
D.L. #
BANK REFERENCES
Bank
Branch
Phone#
Acct. #
CREDIT REFERNECES
1. Name
Phone
Address
Fax
2. Name
Phone
Address
Fax
3. Name
Phone
Address
Fax
I HERE BY CERTIFY THAT THE INFORMATION IN THIS CREDIT APPLICATION IS TRUE AND CORRECT. THIS INFORMATION INCLUDED IN THIS CREDIT APPLICATION IS FOR USE BY PRL GLASS SYSTEMS INC. IN DETERMINING THE AMOUNT AND CONDITIONS OF CREDIT TO BE EXTENDED. FURTHER I HERE BY AUTHORIZE THE BAN AND TRADE REFERENCES LISTED IN THIS CREDIT APPLICATION TO RELEASE THE INFORMATION NECESSARY TO ASSIST PRL GLASS SYSTEMS INC. IN ESTABLISHING A LINE OF CREDIT.
Sign

Clear
Date

MonthDayYear
Date
By
ACCOUNTING USE ONLY:
ACCOUNT #
APPROVED:

PRL Glass Systems & Aluminum
251 Mason Way
City of Industry, CA 91746
Phone: (626) 961-5890 Fax: (626) 923-2086
Credit Card Payment Request
Date:

MonthDayYear
Date
Account #:
Taken By:
Customers Name:
Credit Card
Numeric Part of Billing Address:
Expiration Date:
Last 3 Digits of Accou on Reverse of Card: (Visa and Discover only)
Zip Code:
Total Amount of Order:
Order #(s):
Person Authorized to Use Card: X
Signature:

Clear
Card Holders Name:
Phone #:
Fax #:
PLEASE FAX PAYMENT TO ACCOUNTING DEPARTMENT FAX #626-336-1401 OR 626-934-4005 AND OR EMAIL AT connieb@priglass.com, WE WILL FORWARD A CREDIT CARD CONFIRMATION TO YOU.

BOE-230 (7-02)
GENERAL RESALE CERTIFICATE
STATE OF CALIFORNIA
BOARD OF EQUALIZATION
California Resale Certificate
I HEREBY CERTIFY:
1. I hold valid seller's permit number:
2. I am engaged in the business of selling the following type of tangible personal property:
3. This certificate is for the purchase from [Vendor’s name] of the item(s) I havelisted in paragraph 5 below.
4. I will resell the item(s) listed in paragraph 5, which I am purchasing under this resale certificate in the form of tangible personal property in the regular course of my business operations, and I will do so prior to making any use of the item(s) other than demonstration and display while holding the item(s) for sale in the regular course of my business. I understand that if I use the item(s) purchased under this certificate in any manner other than as just described, I will owe use tax based on each item's purchase price or as otherwise provided by law.
5. Description of property to be purchased for resale:
6. I have read and understand the following:
For Your Information: A person may be guilty of a misdemeanor under Revenue and Taxation Code section 6094.5 if the purchaser knows at the time of purchase that he or she will not resell the purchased item prior to any use (other than retention, demonstration, or display while holding it for resale) and he or she furnishes a resale certificate to avoid payment to the seller of an amount as tax. Additionally, a person misusing a resale certificate for personal gain or to evade the payment of tax is liable, for each purchase, for the tax that would have been due, plus a penalty of 10 percent of the tax or $500, whichever is more.
NAME OF PURCHASER
SIGNATURE OF PURCHASER, PURCHASER'S EMPLOYEE OR AUTHORIZED REPRESENTATIVE

Clear
PRINTED NAME OF PERSON SIGNING
TITLE
ADDRESS OF PURCHASER
TELEPHONE NUMBER
DATE

MonthDayYear
Date

PRL GLASS SYSTEMS INC.
Individual Personal Guaranty
Dated:

MonthDayYear
Date
I,
Residing at
(Individual’s personal address, city, state, zip)
for and in consideration of
(Business Creditor’s Name)
extending credit to
(Name of Credit Applicant Company)
(hereafter referred to as the “Company”) of which and in reliance on any guarantyof said credit, I(Individual’s Name) hereby personally
guarantee to you the payment of any obligation of the Company and I hereby agree to bind myself to pay you on demand any sum which may become due to you by the Company whenever the Company shall fail to pay the same. It is understood that this guaranty shall be a continuing and irrevocable guaranty, and indemnity for such indebtedness of the Company. I do hereby waive notice of default, non-payment and notice thereof and consent to any modification or renewal of the credit agreement hereby guaranteed. The Officer(s) of the Company must sing below as individuals - signatures only, no corporate titles.
Signature

Clear
Print Individual's Name
Date

MonthDayYear
Date
Witness Signature

Clear
Print Witness Name
Date

MonthDayYear
Date
251 MASON WAY INDUSTRY, CA 91746
PHONE: (626) 961 5890 FAX: (626) 968 9256
Should be Empty:

New Customer Application

Business Information

Accounts Payable Contact

Tax Status

Licensing

Business Profile

How Did You Hear About PRL?

Internal Use & Terms

Internal Use Only (PRL)

Terms & Conditions

Signatures

PRL GLASSGLASS FABRICATORS

PRL ALUMINUMARCHITECTURAL METALS

Please Fill In Application Completely

OFFICERS OF FIRM

BANK REFERENCES

CREDIT REFERNECES

ACCOUNTING USE ONLY:

PRL Glass Systems & Aluminum

Credit Card Payment Request

California Resale Certificate

I HEREBY CERTIFY:

Individual Personal Guaranty