Charge account application - Nassco Barbados



Company Charge Account Application

|Company Name (Full Legal Name): |

|Trading Name: |

|Billing Address: |

| |

|Country: |Zip Code: |

|Company Email: |Company Website: |

|Phone No.: |Fax No.: |

|Business Structure (please tick appropriate box) |

|Corporation |Proprietorship |

|Partnership |Government Agency |

| |

|Date of Incorporation/Registration (DD/MM/YYYY): |

|Name and residence of Directors/Principals |

|Name: |

|Address: |

|Zip Code: |Phone No.: |

|Name: |

|Address: |

|Zip Code: |Phone No.: |

|Name of authorized purchaser(s). Attach sheet if necessary. It is the customers’ responsibility to keep this list updated as changes occur. |

|Name: |Title: |Phone No.: |

|Name: |Title: |Phone No.: |

| | | |

|Credit References (Name, Location, Bank Account #/Contact Name) |

|Bank: |

| |Phone No.: |

|Supplier No. 1: |

| |Phone No.: |

|Supplier No. 2: | |

| |Phone No.: |

|NASSCO Credit Terms and Conditions |

NASSCO Ltd is pleased to extend charge account privileges to any qualified customer desiring this facility under the following conditions:

By submitting this application, the Company agrees to pay for all invoices on which credit was extended per our terms of Net 30 days. On the last business day of each month a statement will be prepared and mailed to you listing all unpaid invoices as of the close of business for that month. The amount shown as current on the statement is due by the 30th of the month following the statement date. Those amounts that are recorded under 30, 60, 90 and 120 days will be considered past due and will attract a service charge of 1.5% per month.

Statements of account will be rendered monthly and any discrepancies must be reported to NASSCO Ltd. within 30 days after the statement date. If no discrepancies are reported within this period, NASSCO Ltd will conclude that the applicant is in agreement with the statement.

Your account will be assigned a credit limit that is subject to review at any time. Should your account become past due, NASSCO Ltd. reserves the right to discontinue charge facilities and initiate a Cash on Delivery basis until such time as your balance is returned to current status. NASSCO Ltd. reserves the right to terminate any account that is not settled in full within the specified period.

The undersigned purchaser agrees that the applicant will pay any legal fees and third party (e.g., bailiff) collection costs incurred in recovering an unpaid balance.

The undersigned purchaser asserts that the information contained herein is accurate and may be relied upon in making credit decisions. Any changes in ownership will be promptly communicated to NASSCO Ltd.

The undersigned purchaser authorizes the bank and suppliers listed in this credit application to furnish NASSCO Ltd with any information necessary to complete its credit evaluation. NASSCO Ltd is further authorised to disclose to any credit bureau, reporting agency, business or person, such information regarding our credit history as is appropriate and lawful in the circumstances. The applicant agrees to indemnify and save NASSCO Ltd harmless from any and all claims in damages or otherwise arising from any disclosure.

I/WE HAVE READ THE TERMS OF THIS AGREEMENT AND AGREE TO BE BOUND BY THEM IN ALL RESPECTS.

This__________day of__________________, 20_____.

Signature and Seal: _____________________________________________________________

Owner or Officer Signature Required

Print Name:__________________________________ Title:________________________________

|Personal Guaranty |

|Corporations in business less than 2 years, and all Partnerships and Proprietorships must complete this section. |

The undersigned, (each) being an owner or principal of the Company, hereby (i) guarantees to NASSCO Ltd the full, prompt and punctual payment of all invoices payable by the Company and (ii) agrees and understands that NASSCO Ltd may proceed to exercise its rights under this Guaranty without first pursuing or exhausting its rights and remedies against the Company or any other person or entity. This is a continuing guaranty and shall remain in full force and effect until all of the Company’s obligations to NASSCO Ltd have been fully paid or satisfied.

|Print Name: |Signature: |

|Title: |Barbados ID No.: |

|Home Address: |

| |Home Phone No.: |

|Date: | |

|OFFICIAL USE ONLY |

|Account No: |Credit Limit: $ |Date: |

|Reviewed By: |Approved By: |Denied By: |

Each charge account application must be accompanied by a Certificate of Incorporation/Registration, a Notice of Directors, a Bank reference (or bank statements for the last three (3) months, and the company stamp/seal.

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