Parts & Service Credit

Parts & Service Credit Application

Type of Account
- Parts
- Service
Anticipated Monthly Credit Needed
PLEASE COMPLETE THIS FORM INCLUDING FAX NUMBERS TO SPEED UP THE PROCESS
BILLING ADDRESS
Company Name
Address
City
State
Zip
Contact
Phone
Fax
Type of Business
Fed. ID No./Soc. Sec. No.
Email
IS A PURCHASE ORDER REQUIRED?
- Yes
- No
No. of Units
No. of Units
Make/Model
Incorporated
Year
State
Shipping Address
- Same As Billing Address
Company Name
Address
City
State
Zip
IF TAX EXEMPT—YOU MUST ATTACH A RESALE CERTIFICTE
BANK REFERENCES: (Operating Checking Acct.)
Name
Account No
Address
Contact Name
Phone Number
Fax Number
TRADE REFERENCES: THREE (3) REQUIRED
THREE (3) REQUIRED
Name Address Phone Number Fax Number
CREDIT POLICY: 1) Terms: Net 10th, Finance charge of 2% monthly on past due balances. 2) No addiƟonal credit to be extended to accounts with outstanding balances over 60 days. 3) Account balances are subject to an pre‐approved credit limit.
I HEREBY GRANT PERMISSION FOR YOU TO VERIFY THIS INFORMATION WITH THESE REFERENCES. I GUARANTEE TO ABIDE BY THE CREDIT POLICY LISTED ABOVE AND ACCEPT THE TERMS AND CONDITIONS OF SALE LISTED ON REVERSE SIDE OF THIS APPLICATION.
Signature
Title
Date
REGIONAL INTERNATIONAL CORPORATION
TERMS AND CONDITIONS OF SALE

1) DEFINITIONS The word "Seller as used herein shall mean any corporate entity operating as a branch of Regional International Corp The word "Buyer" shall mean the party to whom the products are sold

2). ACCEPTANCE - The Terms and Conditions ol Sale listed herein shall constitute the only contract between the seller and Buyer. Any terms and conditions originating with the Buyer are hereby expressly rejected and shall not be or become a part of the contract between the Buyer and Seller unless specifically accepted in writing by a duly author officer of the Seller

3) CANCELLATIONS Orders are not subject to cancellation except upon written consent of the Seller and payment to the Seller of proper cancellation charges

4) TAXES - Applicable locat sales tax must be charged in addition to the Purchase Price unless a vald sales tax exemption form executed prior to delivery. Buyer agrees to pay Seller any taes that are imposed now of hereafter on the product sold by this order if said taxes are payable to Seller or Seller is obligated to collect taes

5) DELIVERY It products) sold under this contract are delivered on vehicles other than those owned and operated by Seller, delivery of the products by Seller to the carrier at the point of origin shall constitute delivery of the products to Buyer and thereafter the shipment shall be at the Ruyer's risk. All claims and allowances for damage to products incurred in transit must be filed against and presented to the carrier by the Buyer. In no event shall Seller be liable for any consequential, special or contingent damages on account of any default or delay in delivery

6) CLAIMS Claims for shortages, defects and nonconforming goods must be made by Buyer in writing within seven days of receipt. In the event of any such dam, Buyer shal hold the products complained of intact and duly protected for inspection by Seller or its authoriced agent. Buyer shall in no event return any goods to Seller unless expressly authorized to do so by Seller.

7) TITLE A Security interest in the product() sold hereunder shall remain with the Seller until ful payment in cash has been made therefore in the event of the Buyer's failure to make payment when due, Seller may take immediate possession ot the products without demand or further notice

8) COLLECTION Buyer shall in the event that affirmative action required on the part of Seler to collect any amount owing to Seller, pay to Seller all costs of collection including reasonable attorney's fees

9) DEFAULT If luyer isin default under this or any other contract with Seller, or if Seller at any time shall not be satisfied with Buyer's financial responsibity, Seller shali have the right, without prejudice to any other legal remedy, to spend idelivenes hermunder until such default or condition is remedied, on to decline to make further deliveries ecept upon receipt of cash or satisfactory security

10) INDEMNITY Buyer acknowledges that there are haards sociated with the ise of certain products furnished by seller. All hazardous products are property labeled and lüyer assunes all responsibility for warming its personnel and any third parties on its premises of all hands to persons and property in any way associated with sald produts. Buyer agrees to hold Seller harmless of any ability in regard to said product

11) APPLICABLE LAW These Terms and Conditions of Sale shall be governed by and construed in accordance with the laws of the State of New York and in particular the uniform Commercial Code of the state. Any suit brought by Buyer shal be brought in the county and state of the regional office ol the Seller where the sale is made Buyer and Seller agree that the statute of limitations applicable to deliveries of parts hereunder shall be one vear from date of sale.

12) WARRANTY Seller will estend to uver whatever warranty it retrieves cn goods manufactured by others which may br sold by Seller Ay warranties are id with respect to any product whih hn been altered in atty wa from ts manufadured condition

WARRANTY DISCLAIMER NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, OR AFFIRMATION OF FACT, EXPRESS OR IMPLIED IS MADI BY SELLER, SELLER's LIABILITY IN ALL EVENTS IS LIMITED TO THE REPAIR OR REPLACEMENT, AT SELLER'S OPTION, OF ANY DEFECTIVE PARTIS) WHICH SHALL WITHIN D DAYS AFTER DELIVERY TO THE ORIGINAL BUYERS, NE RETURNED TO SELLER WITH TRANSPORTATION CHARGES PREPAID. SELLER SHALL HAVE NO OBLIGATION TO PAY TOR INSTALLATION OR REMOVAL OF SAID PARTS SELLER SHALL NOT BE LIABLE FOR ANY CARGO LOSS, LOSS OF USE, OR ANY OTHER INCIDENTALS OR CONSEQUENTIAL DAMAGE RESULTING FROM ANY DEFECTIVE PART OR PARTS