Car Dealer Depot Form (Page 2 of 2) in pdf

Car Dealer Depot Form Page 2

Supplier: _______________________________________ Account # ____________________

Address: _____________________ City _____________ St.___________ Zip: ____________

Contact Name:__________________ Phone: _________________ Fax : __________________

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Supplier: _______________________________________ Account # ____________________

Address: _____________________ City _____________ St.__________ Zip: _____________

Contact Name: _________________ Phone: __________________ Fax : _________________

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Supplier : ______________________________________ Account # ____________________

Address :_____________________ City _____________ St. _________ Zip : _____________

Contact Name: _________________ Phone :__________________ Fax : _________________

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Supplier : _______________________________________ Account # __________________

Address: ______________________ City _____________ St. _________ Zip: ____________

Contact Name : __________________ Phone : _________________ Fax :________________

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APPLICANT, if granted the privileges of an account, agrees to pay all invoices in full within

30 days of invoice date. Applicant further agrees to pay Finance charge of 2% per month on

any balance over 30 days, and to reimburse company for actual and reasonable collection

charges and legal fees incurred if account becomes delinquent.

Print Name : __________________________ Tittle : _____________________

Signature: ____________________________ Date : _____________________

Car Dealer Depot Form Page 2