PLEASE COMPLETE ALL INFORMATION. IF NONE, ENTER N/A (Not Applicable)

- Required field
Salesperson
Entity Type	Proprietorship   Partnership   Corporation
Type of Business
Federal ID #
Firm Name
Phone
Fax
Billing Address
City
State
Zip
Website
Purchasing Contact Name
Title
Phone
Fax
Email
A/P Contact Name
Title
Phone
Fax
Email
Under the California Sales and Use Tax Law, Grandflow Inc. of Pleasanton, is required to collect California Sales Tax on all sales shipped into California unless a properly executed resale card has been received from the purchaser. If your purchases for Grandflow, Inc. of Pleasanton are tax exempt, we will require you to complete a resale card, showing a written signature and returning it to our office with the completed credit application.
Taxable?	Yes   No       If No, Resale Certificate Required; Please send to accounting@grandflow.com
Ship to Address
City
State
Zip
	If multiple ship to locations exist, please fax to (925) 443-9428 or email accounting@grandflow.com
Date Business Established
Present Ownership Since
Present Address Since
Principal Officers, Partners or Owners
Name
Title
Home Address
Name
Title
Home Address
Name
Title
Home Address
Bank Reference
Name
Branch
Street Address
City
State
Zip
Checking Account No.
Savings/Other Account No.
Credit References	If you have a pre-existing references document, please fax to (925) 443-9428 or email accounting@grandflow.com
Referred by
Trade
Phone No.
Fax No.
Trade
Phone No.
Fax No.
Trade
Phone No.
Fax No.
Trade
Phone No.
Fax No.
Accounts Receivable Financed	Yes   No
If Yes, indicate %
New Account Terms: 50% pre-payment with completed and approved credit application on first orders. Approved credit terms are Net 30 Days of Invoice date. In the event that invoices are not paid in full within thirty (30) Days from the due date, a service charge of one and one-half (1 1/2%) per month (18% per annum) will be added to all due invoices. Applicant’s signature attests financial responsibility and willingness to pay Grandflow Inc.’s invoices in accordance with our terms. Applicant agrees to pay reasonable attorney fees plus interest in case of default in payments in compliance with terms and conditions below.
I hereby certify that the above information provided is true to the best of my knowledge.
Signature of Officer if Corp. Partner or Owner
Date
By submitting this form, you are granting Grandflow permission to check your credit references. You also acknowledge that you have read and agree to the Terms and Conditions listed below.
TERMS AND CONDITIONS All understandings, conditions and agreements between buyer and salesperson must appear on this order. Orders cannot be countermanded without the consent of GRANDFLOW and on terms that will indemnify that company against all loss. Approval of proofs by email or signed copy will be deemed as acceptance on customer's behalf. Printed orders are subject to 10% overrun/underrun. Any claim arising under this order must be made within ten days from receipt of goods. It is understood that all goods are to be charged for on completion. Buyer shall pay all taxes and charges imposed by any State or National legislation now or hereafter enacted and for all increased cost of these goods caused by any taxes and charges imposed by such legislation. Delivery of all or any part of this order is contingent upon seller’s ability to obtain supplies and raw materials. Customer agrees to pay all collection cost, including attorney’s fees and court costs and any other reasonable expenses and costs permitted by law. In such cases, invoices will not be considered paid in full until these charges are collected.