New Customer Form

CARBIDE CUTTING TOOLS

340 POWER AVENUE HUDSON, NY 12534

TEL 518-828-9942 or 888- 346-6729

FAX 518-828-6610

81 UNIVERSAL ROAD SELINSGROVE, PA 17870

TEL 570-374-5531

FAX 570-374-6121

NEW CUSTOMER FORM

Date: _____________

Plant

___NY ___PA

Salesman/Delivery Day: ________________

:

Customer Type:

__ Individual ___Partnership ___ Corporation

Customer Name:

______________________________________________________

Billing Address:

Ship To Address:

if different from Billing

________________________________________

________________________________________

________________________________________

________________________________________

________________________________________

________________________________________

Shop Contact:

_________________________________________________

Shop Phone # :

__________________

Fax # :

__________________

Shipping Instructions:

U.P.S.

Delivery

Accounts Payable Contact: _________________________________________________

A/P Phone # :

__________________

Fax # :

__________________

A/P E-mail:

__________________

Web:

__________________

Invoice FAX#

_______________________

Invoice Method:

FAX

Email

Invoice Email Address: _____________________@______________

US Mail

Tax Exempt?

Yes

(If Yes, A SALES TAX EXEMPTION CERTIFICATE must be submitted )

No

Dinosaw Delivery Procedures:

We will deliver new items and/or your serviced tools via our salesman or UPS as agreed. A delivery receipt will be provided on all goods

delivered. You or your employee who receives these goods will sign a copy of the delivery sheet or a separate delivery log. This proof of delivery ensures the goods were

received by you. If goods are delivered to you via UPS, the UPS tracking# will be provided. UPS only keeps tracking information for 18 months. It is your responsibility to

obtain that information within that time if delivery is disputed. After that time, delivery will be assumed.

Dinosaw’s General Credit/Payment Terms are as follows:

To apply for open account, please request a credit application from your salesmen or our office.

Business will be conducted on a C.O.D. or Credit Card basis unless open credit is approved in our credit department. To ensure your privacy, please do NOT give your credit

card number to our salesman. Call our main office 1-888-346-6729 (1-888-DINOSAW) ext. 110. Colleen will take your credit card information which will be held in strictest

confidence. We accept MasterCard, VISA, and American Express. We will contact you with the amount being charged prior to processing the transaction.

Dinosaw Payment Terms are as follows:

We will require Cash, Company or personal check, or authorization to Charge to your credit card the full amount due

including delivery charges when applicable at the time of delivery unless your have been approved for open account. Our salesman will not leave new tools or your items which

we have serviced until payment method has been established. Deliveries may be held if there is an outstanding balance over 60 days. Please read and have someone in authority

sign below to indicate you have been advised of our terms and condition of sale.

If Open account is established, the following terms apply:

An invoice for goods and services purchased will be provided via the method you have chosen above

(Email, FAX, or US Mail). Invoices are due 30 days after Invoice Date. Balances still unpaid 60+ days after invoice date will accrue finance charges at a rate of 1.5% calculated

and billed monthly when statements are created. Monthly statements will be mailed within 10 days of each month end. Finance charges accrued will appear on your statement

ONLY. A separate Invoice will not be presented. Special Terms may be applied if an invoice or balance remains unpaid 90+ days after Invoice Date or if a check is returned for

Insufficient Funds. Your next delivery may be held for payment of the over 60 day balance, or we may establish a program for shipment on a COD/Credit Card only basis with

additional payment on the past due balance. These special terms are at the discretion of the Credit department. Dinosaw will make every effort to continue business in good faith.

We understand that occasionally circumstances arise that affect cash flow, however the debtor must be making an effort to resolve the issue to avoid collections and legal action.

Checks returned for insufficient funds will incur an additional $20.00 processing fee.

In the unfortunate event that this account is placed with collections, any collection or legal fees Dinosaw incurs will be charged to the account and will become part of the total

balance owed. Title to products delivered will remain with our company until payment in full is received and has cleared the bank.

Please read and have someone in authority sign below to indicate you have been advised of our terms and condition of sale.

The undersigned understands and agrees to the terms presented above and warrants that the information submitted is true and correct. This is not a personal guarantee, but rather an

acknowledgement that you understand and accept our terms of doing business.

Name

Title

Date

Rev. 03/2013