| A Division of Noops International, Inc. | |
| C.O.D. | |
New Account Purchase Application |
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| Name of the Applicant ____________________________________________________________________________ | |
| Business Name ____________________________________________________________________________ | |
| Address_______________________________________ | ST____________________Zip__________________ |
| Telephone ____________________________________ | Fax ________________________________________ |
| Type of Business: Corporation____________________ | Partnership______________Individual____________ |
| How Long in Business___________________________ | Resale No.___________________(Please Attach Copy) |
| Name of the person to be contacted for P.O.'s___________________________________________________________ | |
| President____________________________________ | Social Security# ______________________________ |
| Officer______________________________________ | Social Security# ______________________________ |
| Bank Name__________________________________ | Branch ______________________________________ |
| Address_____________________________________ | ST_________________________Zip_____________ |
| Bank Acct#_______________Officer______________ | Tel_________________________Fax_____________ |
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The above information is herewith submitted to Noops International for the purpose of purchasing goods. The undersigned authorizes Noops International to obtain relevant information from the bank reference mentioned above to verify funds availability, etc. In the event of suit or collection activity, reasonable attorney fee and collection costs will be added to the applicant debt. In the event of litigation arising from invoice or this contract, all parties agree that venue will be in Los Angeles and California law shall prevail. If payments are to be made by credit card; the undersigned acknowledges Noops International prior to release of goods must obtain proper authorization. |
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| A $35 fee will be charged on all returned checks. | |
| Date___________________Signed_______________Title_______________________ | |
| Web: ir-usa.com E.Mail: info@ir-usa.com | |
| 20315 Nordhoff Street Chatsworth, CA 91311 USA * Phone 818-727-9740 * Fax 818-998-8239 | |
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