Reprodux Account Application - Reprodux

Account Application

Step 1 of 7

Company Information
Legal Business Name*
Operating as (if applicable)*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Same mailing address than above?*
- Yes
- No
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Email*

Parent Company Information
Parent Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Owner/Principal
Email
Phone
Ext
Does Parent Company Guarantee Debts?
- Yes
- No
If no please give details
Nature of Business
Please make a selection*
Other*

Business Reference (1 of 2 Required)
Company Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Contact*
First Last
Account Number*

Business Reference (2 of 2 Required)
Company Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Contact*
First Last
Account Number*

The Fine Print
By signing this credit application/agreement, the individual executing this Application below on behalf of Buyer, individually and personally, represents and warrants to Reprodux Ltd. that: (1) He/she is authorized to execute this Application on behalf of Buyer; (2) the information set forth in this Application is accurate and complete; (3) Buyer agrees that the prevailing party in any proceeding to enforce this Guarantee or to resolve a dispute with Reprodux Ltd. will be entitled to recover its costs, including attorneys’ fees, collection agency fee, from the other party; (4) any claims for shortages or errors will be made within 5 days of receipt of order; (5) All orders are subject to a minimum charge; (6) any legal action brought by Buyer will be in the jurisdiction of Toronto, Ontario, Canada and Buyer hereby submits to the jurisdiction of said courts. The laws of the Province of Ontario will apply. Buyer agrees to pay interest on any unpaid purchases, beginning 30 days after the payment due date, at the rate of 2% per month; 24% per annum. Buyer also agrees to pay $50 for each check issued by Buyer to Reprodux Ltd., which is returned to Reprodux Ltd, unpaid or marked NSF. In signing this Application, Buyer agrees to all of the above and hereby grants permission for credit information to be verified by company(ies) and financial institution(s) that the Buyer has specified on this document and others that Reprodux Ltd, becomes aware of during the credit review process and from time to time. The undersigned also understands that Reprodux Ltd, will retain this Application, whether or not it is approved, and that Reprodux Ltd, will consider this Application as a continuing statement of the undersigned’s financial position and situation until notified otherwise by the Buyer. In order for Reprodux Ltd. to sell and to continue to sell to Buyer, Buyer hereby represents and warrants that it is solvent and that it pays its obligations as they become due. The preceding representation and warranty will be deemed to be repeated in each purchase by Buyer. Faxed documents will be deemed as original. No oral agreements will be accepted. The terms on this credit application/agreement overrides all others. PERSONAL GUARANTEE: The individual by signing this credit application/agreement is executing this Application on behalf of Buyer and personally guarantees, and agrees to be personally liable for failure of the performance by Buyer of, any and all of Buyers’ obligations under this Application with Reprodux Ltd,including timely payment of any and all sums due to Reprodux Ltd. The personal guarantee also applies in the event that the Buyer declares Bankruptcy or applies for Bankruptcy protection.
Company Name
Authorized Signature
Date
MM slash DD slash YYYY
Signatory Name
First Last
Title