Credit Application GENERAL CONDITIONS OF SALE 1. The undersigned certifies that the information provided here is correct, that it is submitted for the purpose of obtaining credit, and agrees to all of the following terms and conditions of sale of PHS Inc. 2. PAYMENT TERMS: Any purchases made with Premier Handling Solutions will be net 30 days from the ship date. Any other payment terms must be agreed upon by the Controller. Accounts over 30 days old are initially phoned. Any account over 45 days past due will be placed on credit hold. No statement of account will be mailed. 3. Should it become necessary to place this account for collection, suit, or other legal proceedings, the business on this application agrees to pay all costs and expenses of collection, suit, or other legal action, including a reasonable attorney's fee and, if necessary, appellate fee. 4. The business on the application hereby waives any and all privileges and rights which they may have under ______________ State statutes, relating to venue, as it now exists or may hereafter be amended and further agrees that any legal action brought for collection of past due accounts may be brought in the the appropriate court in Kane County, Elgin, IL. 5. No returns will be accepted without a return authorization number. 6. The customer warrants that any extension of credit or business dealing is based strictly upon presentations, as set forth herein, in the Credit Application, and the reliance upon the same by the company to extend such credit. FOR YOUR RECORDS REMITTANCE | PURCHASE ORDER | MAILING | SHIP TO ADDRESS: 1415 Davis Rd | ELGIN, IL 60123 Phone: (800) 404-2311 | Fax: (847) 278-2310 Federal I.D. Number: 45-2742441 THE FOLLOWING MUST BE FILLED OUT (*).Have a pre-existing document that has all/most of this information included in it already? Upload it here, and click the submit button at the bottom of the form:Have a pre-existing document that has all/most of this information included in it already? Upload it here, and click the submit button at the bottom of the form: Drop files here or Select files Max. file size: 500 MB. Company Name* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code A/P Contact Name* First Last Phone*Email* Year Established D&B Number* Type of Business*PartnershipCorporationOtherFederal ID Number* Are Purchase Orders Required? (Specific billing instructions must be on P.O.)YesNoList Authorized Buyers Tax Exempt Number (Please submit resale certificate.) If not a Corporation, please list principal owner(s) Trade Reference #1Name/Address* PhoneFaxTrade Reference #2Name/Address* PhoneFaxTrade Reference #3Name/Address* PhoneFaxBank AccountBank Name Address PhoneFaxBank Officer Account Number Account Type SignaturePrint Name* First Last Title* Date* MM slash DD slash YYYY Security Code The title of the page
