If you prefer to fax or mail your application, click here to download a PDF version.

Date January 06, 2009
New Customer?
Resale? (If Yes, please provide resale certificate.)
Federal Tax I.D. Number
Change in Credit Line Requested?
Purchase Order Requested?
Accounts Payable Contact
Accounts Payable Phone

Contact Information

Legal Name
Mailing Address
City, State, Zip
Shipping Address
City, State, Zip
  
Office Phone
Alt. Phone
Email
FAX

Company Information

Type of Entity State Reg.#
Type of Business
Date Established
Previous Business Name (if any)
Associated Companies
Purchasing Agent
List Individuals, Partners, Members or Officers of Title (Include title, name, home address, and home phone.)

Bank Information

1. Bank Name
Account Number
Address
Phone
2. Bank Name
Account Number
Address
Phone

Major Trade References

1. Company Name
Phone
Address
Fax
2. Company Name
Phone
Address
Fax
3. Company Name
Phone
Address
Fax

For sales and in consideration of any extension of credit and as a part of each invoice for goods sold to the Applicant, it is agreed by any Applicant as follows:

  1. This application is for the benefit of River Front Designs, Inc. and any of its affiliates or subsidiaries; such parties are authorized to contact the above named bank(s) and credit references for the purpose of obtaining information concerning Applicant and its financial affairs and disclosure of such information is hereby authorized. Otherwise this application is confidential except as legally discoverable.
  2. Applicant agrees to pay all sums due River Front Designs, Inc. pursuant to terms of sale specified in invoices and statements rendered by River Front Design, Inc. to applicant, together with reasonable attorney's fees in the event of suit for collection of such sums. Past due sums shall bear a service charge equal to .015 of the outstanding balance per month in addition to any interest allowed by law. Such sums are payable at the address of River Front Designs, Inc. appearing on the front page of this application where this agreement is accepted by River Front Designs, Inc., which is agreed to be the place of Applicant's performance hereunder, and the proper venue for any action commenced pursuant to this agreement; acceptance of payments at some other place shall not constitute a waiver of this clause. River Front Designs, Inc. at its sole option may elect any other legally appropriate venue.
  3. All sales are final, and any returns of merchandise must be authorized in writing by River Front Designs, Inc. River Front Designs, Inc. is not obligated to accept return of any merchandise for credit except in the case of defective merchandise. Any exceptions to quantity, quality, merchantability, description or price from that set forth on invoices rendered to buyer must be made in writing within 25 days of date of invoice or delivery, whichever is later, which is agreed to be a commercially reasonable time.

In accordance with the Electronic Signatures in Global and International Commerce Act of 2000, electronic contracts and signatures are as valid as paper contracts in all states, regardless of where the parties live or where the contract is executed. You have the right to request a paper contract from us. Regardless of whether you make such a request, your electronic signature on this registration form shall remain legally valid and binding.

Signature of Authorized Agent
Title
Company
Date

All contents © 2007-2008 River Front Designs, Inc.