Distributer Credit App

LAGUNA MANUFACTURING INC.

3P PRO-ACTIVE POLICE PRODUCTS

laguna3p.com

1470 LINDA WAY
SPARKS, NV 89431
Phone: 775-358-4200 OR 800-516-2322
FAX 775-358-4221

CREDIT APPLICATION AND AGREEMENT
* indicates required field
General Info:
Business Info:

Proprietors, Partners or Officers, If Incorporated (Full Name & Address):
Trade References:
List three (3) trade references.
Include: Name | Address(street, city, state) | Account # | Phone Number
Banking Info:
Resellers Certificate:

BY CHECKING THE BOX BELOW, I HEREBY CERTIFY THAT ON THE DATE LISTED ABOVE: The company listed on this form holds a valid seller’s permit, number and state as listed below, for the resale of products in the normal course of business.
Agreement:
The purchaser hereby agrees to the following terms and conditions:

  1. Pay in full according to terms on invoice.
  2. In the event payment in full is not made in accordance with Item 1 above, a finance charge will be added to the previous balance after deducting all credit and payments. The charge will be at the rate of 1.5 per cent per month equal to an annual rate of 18 percent on past-due balances over $20.00.
  3. If failure to pay according to the terms of this agreement causes this account to be assigned for collection, or should an action at law be instituted to collect, the prevailing party agrees to pay reasonable attorney’s fees and court costs. Jurisdiction of any action hereunder is hereby fixed to the City of Sparks, County of Washoe, State of Nevada.

The undersigned certifies that the information given in this application and agreement is true and agrees to the terms and conditions.