Business/Gym Name_________________________________________
Business Address _________________________________________
City/State/Zip ____________________________________________
Fed Tax ID or SS # __________________________________________
Business Phone __________________________________________
Business Fax ___________________________________________
Email address ___________________________________________
Person in Charge____________________________________________
Address _____________________________________________
City/State/Zip _____________________________________________
Personal Phone # ____________________________________________
Business Reference ________________________________________
Address _____________________________________________
City/State/Zip ____________________________________________
Phone _____________________________________________
* Resale Permit # ___________________________(MUST include copy)
Credit Card #1 Credit Card #2
Visa MasterCard Discover AmEx Visa MasterCard Discover AmEx
Name _________________________ Name ________________________
CC# ____________________________ CC# ___________________________
Expiration Date __________________ Expiration Date _____________
Security Code (3 digit)___________ Security Code (3 digit)__________
Drivers License __________________ Drivers License _______________
Birthdate_________________________ Birthdate________________________
Card Holder Signature_______________ Card Holder Signature__________________
I/We hereby agree to sell Snowflake Designs leotards under the following
conditions. We can purchase the leotards directly, or set up Net 10/30/45
terms. We agree to pay for the leotards, or return those that are unsold
for credit (consignment only). We understand that we are responsible
for all shipping costs. A finance charge of 1% monthly (APR 12%) will be
charged on all PAST DUE balances unless prior consideration has been
made ahead of time. We also understand that if there is any trouble
collecting on the account, that Snowflake Designs has our permission
to charge our credit cards for the outstanding balance due. A $25.00
service fee will be charged for all returned checks. Buyer agrees to pay
all attorney fees if action is required.
Signature ________________________________________ Date _____________
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