NEW CUSTOMER BUSINESS ACCOUNT

NEW CUSTOMER BUSINESS ACCOUNT

BUSINESS CONTACT INFORMATION
Select Area:
Company Name

DBA (Doing Business As):
Full Name

First NameLast Name
FEIN #
Sales Tax #
Phone Number
Format: (000) 000-0000.
Secondary Phone Number
Format: (000) 000-0000.
E-mail
example@company.com
Secondary Email
example@company.com
Registered Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date business commenced:

MonthDayYear
Date
Type:
Receiving Hours:
Example: 9AM-5PM (Monday-Friday)
Liftgate Needed?:
Appointment Needed?:
BUSINESS AND CREDIT INFORMATION
Bank name:
Bank Phone Number:
Format: (000) 000-0000.
Bank Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of account:
Account Number:

TRADE REFERENCES
- Company Name:
- Owed Amount:
  Example: $3,000
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number
  Format: (000) 000-0000.
- Email
  example@company.com
- Company Name:
- Owed Amount:
  Example: $3,000
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number
  Format: (000) 000-0000.
- Email
  example@company.com

REQUIRED DOCUMENTS
- Name
  
  First NameLast Name
- Title:
- Ownership Percentage:
- Address:
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- SS#:
- Driver License #:
- Issuing State:
- Today's Date:
  
  MonthDayYear
  Date
- Signature
- IN ORDER ТО INDUCE MAX'S IMPORTS LLC ТО АССЕРТ ORDERS AND EXTEND CREDIТ, ТНЕ UNDERSIGNED HERBY PERSONALLY GUARANTEES ТНЕ FULL, PROMPT AND PUNCTUAL PAYMENT OF ALL PURCHASES MADE ВУ:
- Legal Business Name:
- THIS IS А CONТINUING GUARANTY UNТIL REVOKED IN WRIТING AND ACKNOWLEDGED ВУ MAX'S IMPORTS LLC ТНЕ UNDERSIGNED WAIVES NOТICE OF ANY DEFAULТ OF THIS GUARANTY AND PROMISES ТО РАУ 1.5 % PER MONTH PLUS ALL COSTS OF COLLECТION AND ATTORNEYS FEES INCURRED ВУ MAX'S IMPORTS LLC IN ТНЕ EVENT ТНАТ THIS GUARANTY OF PAYMENT IS PLACED IN ТНЕ HANDS OF AN ATTORNEY OR COLLECТION AGENCY.
  
  MAX'S IMPORTS LLC AND THE UNDERSIGNED AGREE THAT ANY DISPUTE BETWEEN THEM WILL BE THE GOVERNED BY THE LAW OF THE STATE OF MICHIGAN (WITHOUT GIVING EFFECT TO MICHIGAN CHOICE OF LAW RULES). THE PARTIES MUTUALLY CONSENT TO THE JURISDICTION OF ANY LOCAL, STATE, OR FEDERAL COURT LOCATED IN MACOMB COUNTY, MICHIGAN, AND WAIVE ANY OBJECTION TO IMPROPER VENUE OR FORUM NON CONVIENS IN THOSE COURTS.
- Today's Date:
  
  MonthDayYear
  Date
- Signature
- Before you submit, please upload the following required documents:
  1. Form W-9 (Request for Taxpayer Identification Number)
  2. Sales & Use Tax License (Business License)
  If you need the form, please download it here: W-9 Form
  
  Upload your completed forms using the file uploaders below:
- Form W-9
  
  Cancelof
- Sales & Use Tax License
  
  Cancelof
Should be Empty:

NEW CUSTOMER BUSINESS ACCOUNT

BUSINESS AND CREDIT INFORMATION

TRADE REFERENCES

REQUIRED DOCUMENTS