AWARD FABRICS
200 Ottley Drive, Suite C, Atlanta, GA 30324
Telephone 404-888-9212  or 1-800-783-4234  
Fax 404-888-9227 
www.awardfabrics.com

BUSINESS NAME: (BILL TO)

_________________________________________TELEPHONE #____________________________

_________________________________________FAX #___________________________________

_________________________________________E MAIL __________________________________

SHIP TO ADDRESS: (IF DIFFERENT FROM BILLING ADDRESS)

________________________________________________________________________________

COUNTY _____________________________

 ____ PROPRIETORSHIP ____ PARTNERSHIP ____ CORPORATION

FEDERAL IDENTIFICATION NUMBER   ________________________________________________

CREDIT LINE REQUESTED __________________________________________________________

HOW LONG HAS THE BUSINESS OPERATED UNDER THIS NAME? _________________________

IF LESS THAN 5 YEARS, PREVIOUS EMPLOYER _________________________________________

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OWNER, PARTNER, PRINCIPAL OFFICER S.S. # _________________________________________

NAME _______________________________________ PHONE # ____________________________

ADDRESS_________________________________________________________________________

OWNER, PARTNER, PRINCIPAL OFFICER S.S. # __________________________________________

NAME ________________________________________ PHONE # ____________________________

ADDRESS _________________________________________________________________________

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IF YOU ARE TAX EXEMPT, A COPY OF YOUR TAX CERTIFICATE MUST BE SENT TO US TO

PLACE IN YOUR FILE.. CERTIFICATE # __________________________________________________

TRADE REFERENCES:

NAME: ________________________________________TELEPHONE # _________________________

  ADDRESS _____________________________________________ACCOUNT # __________________

 NAME: ________________________________________TELEPHONE #_________________________

  ADDRESS _____________________________________________ACCOUNT #__________________

NAME _________________________________________TELEPHONE #_________________________

  ADDRESS ______________________________________________ACCOUNT #__________________

BANK __________________________________________TELEPHONE #_________________________

CHECKING ACCOUNT # _________________________ SAVINGS ACCOUNT #____________________

OFFICER IN CHARGE OF ACCTS. ________________________________________________________

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COMMERCIAL CREDIT TERMS

**INVOICES ARE MAILED WHEN GOODS ARE SHIPPED. ACCOUNT IS IN DEFAULT IF PAYMENT IS NOT RECEIVED WITHIN 30 DAYS OF INVOICE DATE.

**THERE IS NO SERVICE CHARGE ON EXTENSIONS OF CREDIT WHICH ARE PAID WITHIN 30 DAYS IF THE INVOICE DATE. THE SERVICE CHARGE IS COMPUTED BY APPLYING A PERIODIC RATE TO INVOICES THAT ARE OVER 30 DAYS OLD.

**NO OTHER CHARGES WILL BE IMPOSED UNLESS THE CUSTOMER FAILS TO MAKE PAYMENT AS REQUIRED, IN WHICH EVENT THE EXPENSE OF COLLECTION, INCLUDING REASONABLE ATTORNEY’S FEES AND/OR COLLECTION FEES AND COURT COST INCURRED, SHALL BE IMPOSED.

**ACCEPTANCE OF PAYMENT IN ARREARS OR PARTIAL PAYMENT SHALL NOT BE DEEMED A WAIVER OF THE RIGHT TO DEMAND PROMPT PAYMENT IN FULL OR A WAIVER OF ANY RIGHT OR REMEDY AWARD FABRICS, INC. MAY HAVE ON ANY FUTURE OCCASION.

**THE REPRESENTATIONS MADE HEREIN ARE CORRECT TO THE BEST OF MY KNOWLEDGE AND I UNDERSTAND THIS APPLICATION MAY BE REVOKED OR REJECTED BY AWARD FABRICS, INC. AT ANY TIME IF THE ACTUAL FACTS ARE FOUND TO DIFFER.

 

AGREED TO BY __________________________________  DATE SIGNED __________________