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CHARGE ACCOUNTS

Apply for a new charge account. Companies must have a local office in Southern Nevada.

Copy this form, both pages and return it via email or hand deliver (or) request this form via e-mail and we will send you a Word Doc or pdf copy. All applications  are subject to approval.

Rec World Inc.

1969 N. Decatur Blvd

Las Vegas, NV 89108

ph: (702) 642-1041

e-mail: recworld@embarqmail.com

 

Charge Account Application                                                                              Date_______________

                                                                      

Applicant / Company Information                                                                         

Company Legal Name____________________________________________________________________

Company D.B.A.___________________________________________________________________________

Billing Address_________________________________ City________________ State____ Zip_________

Delivery Address_______________________________ City________________ State____ Zip_________

ph _________________ e-mail / accounting required_________________________________________

Description of Business___________________________________________________________________

_________________________________ Year established________ Years at present location________

Partnership______ Proprietorship______ Corporation______ Tax ID / EIN #____________________

When Incorporated_____ Where Incorporated_____________________________________________

Resale? Yes_____ No_____ Resale number________________ PO’s required? Yes______ No______

Owners or Company Officers

Name___________________________________  Title_______________________ph__________________

Address_______________________________________ City__________________ State___ Zip_________

Name___________________________________  Title_______________________ ph__________________

Address_______________________________________ City__________________ State___ Zip_________

Name____________________________________Title_______________________ ph__________________

Address_______________________________________ City__________________ State___ Zip_________

Name____________________________________Title_______________________ ph__________________

Address_______________________________________ City__________________ State___ Zip_________

Have any principles ever filed bankruptcy?  Yes_____ No _____

If yes, Who_____________________ Where______________________________________ When_______

Applicants Primary Suppliers / Credit References

Name_____________________________________________________________________________________

Address_______________________________________ City_________________   State___  Zip_________

ph_____________ fax_____________ e-mail / accounting, required_____________________________

Name_____________________________________________________________________________________

Address_______________________________________ City_________________   State___  Zip_________

ph_____________ fax_____________ e-mail / accounting, required_____________________________

Name_____________________________________________________________________________________

Address_______________________________________ City_________________   State___  Zip_________

ph_____________ fax_____________ e-mail / accounting, required_____________________________

Name_____________________________________________________________________________________

Address_____________________________ _________ City_________________   State___  Zip_________

ph_____________ fax_____________ e-mail / accounting, required_____________________________

Applicants Business Banking Information

Bank Name____________________________________________ Account #_________________________

Branch______________________________________________________________ ph___________________

Address_______________________________________  City_________________ State____ Zip_________

Terms of Agreement   

Maximum terms to all types of trade: Net 10th

Payment due date by the 10th day of the following month. Buyer agrees to be held liable for a monthly interest charge of 2% of the outstanding debt upon default in payment of any such debt. Interest to accrue from the date of Invoice and will be activated upon the buyers failure to satisfy sellers demand for payment. In the event of any litigation, controversy, claim or dispute between the parties hereto, arising out of or relating to this contract or breach thereof, the prevailing party shall be entitled to recover from the losing party reasonable expense including, without limitation, attorney’s fees and cost.

 

I (we) certify that the above information is true and correct, and that I (we) will comply with your terms. This signature also authorizes the release of information on my accounts to Rec World Incorporated for credit purposes.

 

Name of officer______________________________ Title______________________ ph________________

Signature____________________________________ Date_________________

Name of officer______________________________ Title______________________ ph________________

Signature____________________________________ Date_________________

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