69250 Burke Dr.
Richmond, MI 48062-1150
Phone (586) 727-2400
or (800) 624-2932
Fax (586) 727-4362
or (800) 562-1956
 
* indicates required field
Company Name
 * Tax ID
* Address
* City
* State
* Zip
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* Phone
Fax
Email Address
Web Page Address
Name of Major Stockholders or Partners
If partnership, include all partners
(use separate sheet if necessary)
If branch or division: Parent Company Name
Address:
Invoice and Statement Mailing Address
Ship to Address
Amount of Credit Requested
D & B Rating
References
Bank Name
Address
Phone Number
Fax
Account No.
Bank Officer
(If your bank requires an authorization letter to release information on your account please fax or mail it to us)
Trade References
Bank Name
Address
Phone Number
Fax
Name of Person to Contact
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Bank Name
Address
Phone Number
Fax
Name of Person to Contact
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Bank Name
Address
Phone Number
Fax
Name of Person to Contact
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Bank Name
Address
Phone Number
Fax
Name of Person to Contact
 
General Terms and Conditions of Sale
1.
 AN INITIAL $200.00 ORDER IS REQUIRED TO ESTABLISH AN ACCOUNT AND ANNUAL PURCHASES MUST EXCEED $200.00 TO MAINTAIN AN ACCOUNT STATUS.
2.
 IF YOU QUALIFY FOR AN OPEN ACCOUNT, A LINE OF CREDIT WILL BE ESTABLISHED FOR YOU AT POWER EQUIP MENT. THE LINE OF CREDIT IS BASED UPON YOUR BUSINESS OR PERSONAL FINANCIAL STATEMENT, THREE (3) TRADE REFERENCES AND YOUR CREDIT HISTORY.
3.
 CUSTOMERS MAINTAINING UNDER $2000.00 ANNUAL PURCHASES WILL BE SUBJECT TO A $5.50 SHIPPING AND HANDLING CHARGE PER ORDER.
4.
 ALL ACCOUNTS THAT BECOME 60 DAYS DELINQUENT WILL BE PLACED ON C.O.D. AT THE DISCRETION OF MAN- AGEMENT. ONCE THE ACCOUNT HAS BEEN MADE CURRENT, A RE-EVALUATION WILL BE MADE AS TO WHETHER THE ACCOUNT WILL BE RE-OPENED.
5.
 ALL ACCOUNTS THAT BECOME 90 DAYS DELINQUENT WILL BE NOTIFIED WITH A FINAL DEMAND. IF THE ACCOUNT IS NOT PAID, COLLECTION PROCEDURES MAY BE INITIATED AT THE DISCRETION OF MANAGEMENT.
6.
 A FINANCE CHARGE OF 1 1/2% PER MONTH WILL BE ASSESSED ON ALL INVOICES OVER 30 DAYS PAST DUE.
7.
 A $25.00 PROCESSING FEE WILL BE CHARGED FOR ALL RETURNED CHECKS.
  TERMS
1.
 ALL INVOICES DATED FROM THE 1ST OF ANY GIVEN MONTH TO THE LAST DAY OF THE SAME MONTH WILL BE DUE WITH NET 10TH OF THE FOLLOWING MONTH TERMS UNLESS OTHERWISE SPECIFIED ON THE INVOICE.
2.
 A SERVICE AND HANDLING CHARGE OF $5.50 ON ALL ORDERS UNDER $15.00.
3.
 FREIGHT IS F.O.B. RICHMOND, MI. CALL FOR INFORMATION REGARDING OUR PARTS AND EQUIPMENT FREIGHT POLICIES.
   
I UNDERSTAND AND AGREE TO THESE TERMS AND CONDITIONS OF SALE AND I HEREBY CONFIRM THAT THE PRECEDING INFORMATION IS CORRECT TO THE BEST OF MY KNOWLEDGE. I AM AWARE THAT ALL THE INFORMATION WILL BE HELD IN THE STRICTEST OF CONFIDENCE. SHOULD I BE GIVEN OPEN ACCOUNT, I AGREE TO ALL TERMS INCLUDING PAYING FINANCE CHARGES ON THE PAST DUE BALANCE. SHOULD IT BECOME NECESSARY FOR MY ACCOUNT TO BE HANDLED BY AN OUTSIDE COLLECTION AGENCY OR ATTORNEY, I WILL PAY THE COSTS INCURRED BY POWER EQUIPMENT DISTRIBUTORS, INC.
* Authorized Contact Person
Title