General Business Information
TERMS: DUE UPON RECEIPT. Payments are due upon receipt of goods. Please make checks payable to Amatheon, Inc. All Past Due Invoices will be assessed a finance charge with an annual rate of 18%. In the event of default in payment of any amount due and if the account is placed with an attorney or collection agency, an additional charge equal to the cost of collection including agency, attorney fees, and court costs incurred will be added to your balance with finance charges to the extent permitted by law. Applicant authorizes Amatheon, Inc to obtain a written or oral report from any reporting agency. Accounts with past due balances may be subject to a change in terms of either C.O.D. or payment by credit card. Only a corporate officer or owner can sign this form.
PLEASE NOTE THAT ALL ITEMS ARE SOLD ON A NON-RETURNABLE BASIS.
PERSONAL GUARANTEE: In order for Amatheon, Inc. to accept this application and otherwise sell to and/or extend credit to the undersigned applicant, the Applicant hereby agrees to personally guarantee and assume all of the obligations and responsibilities for any and all debts that the applicant shall incur including costs of collection, interest, attorney’s fees and court costs in connection with the applicant’s purchases from Amatheon, Inc. commencing from the date of this application until such time as Amatheon, Inc. acknowledges, in writing, the termination of said extension of credit. The undersigned hereby agrees to notify Amatheon, Inc. of any changes in ownership and affirm that the financial condition of the applicant is satisfactory to meet all of its financial obligations. In the event of any suit for collection, the Applicant and each Personal Guarantor hereby consent to the jurisdiction of the Courts of the
State of Florida with venue in Miami-Dade County, Florida, and waive all right to trial by jury.
I have read and agree to all of the terms and conditions stated above. The undersigned accepts and acknowledges that Amatheon, Inc. will periodically send information regarding opportunity buys, special pricing and and/or incentives to the fax number and/or email addresses listed above.
Credit Card Authorization Form
Applicants must complete all sections of this form.
Please Send Payments To:
Amatheon Animal Health.
80 SW 8th ST, Suite 2660
Miami, FL 33130
By signing this form with your digital signature below, I hereby authorize Amatheon, Inc. to charge my credit card for all orders shipped to the Business Name and Shipping Address referenced above. I also certify that I am the authorized holder and signer of the credit card referenced above. Any change to the information listed on this authorization form must be submitted in writing via fax or email to Amatheon, Inc. Any such changes must be confirmed by Amatheon, Inc. in writing.
Due Diligence Form
(This form is MANDATORY if you will be purchasing Controlled Substances from Amatheon)
*Please note that Amatheon will ONLY ship Controlled Substance orders to the EXACT address listed on the DEA License. No Exceptions.