I N D U S T R I A L S U P P LY , I N C .
A.K.A ALLEN BOLT
1711 West Burbank Blvd, Burbank, CA 91506

Burbank/Glendale
East Valley
West Valley
Los Angeles

(818) 845-9145
(818) 840-8080
(818) 984-2115
(323) 849-7552

COMMERCIAL CREDIT APPLICATION/AGREEMENT and CUSTOMER SERVICE INFORMATION

Name of Company: Telephone: Fax:
Billing Address: City: State: Zip+4:
Shipping Address: City: State: Zip+4:
Do you require P.O. # on all invoices? Attach list of all shipping locations
Corporation Partnership Proprietorship Government
Date Incorporated or Business Started: Federal I.D. No:
Nature of Business: Manufacturer Distributor Service Other SIC Code:
Are you a division of or related to any other company? Yes No ....Relationship:
If yes, name of company and address of home office:
Product Required: Cutting Tools Carbide Abrasives Measuring Tools Workholding Fluids MRO Fasteners
Requested Credit Availability: Estimated Annual Purchases: Total Annual Sales:

PERSONNEL

Purchasing Director: Accounts Payable Manager:
Sales Manager: Controller:
Total No. of Employees: Estimated Annual Purchases No. Outside Sales Personnel:

Names of Principal(s) Tittle(s)

Social Security Number/Phone Number

Home Address, City, State, Zip

BANK INFORMATION

Name of Bank: Address:
Checking Account Number(s): Loan Number(s):
Bank Office : Telephone: Fax:
COMMERCIAL TRADE REFERENCES

NAME

ADDRESS

TELEPHONE NUMBER

FAX NUMBER

1.
2.
3.
4.

I certify that all the information in this form is correct, and that I fully understand your credit terms and agree to the terms and conditions as set forth on the reverse side. By execution of this commercial credit application, I hereby authorize you to investigate the credit history of the business unity and that of the principals of the business applying for this account by obtaining information from our bank, trade references, and commercial and consumer credit reporting companies. Any person signing below on behalf of this business entity confirms that it is a valid business entity and that said person is authorized to enter into this agreement on its behalf. The undersigned acknowledges receipt of a copy of this commercial credit application and terms and conditions of sales agreement.

Authorized Signature_____________________________Print Authorized Name and Title_________________________Date_____________________

PLEASE FAX TO ACCOUNTING MANAGER @ 818-841-8761

TERMS AND CONDITIONS OF SALE / AGREEMENT APPLYING TO PRODUCTS SOLD

ACCEPTANCE OF TERMS AND CONDITIONS
Orders are accepted on the basis of terms and conditions in effect at the time the order is received and approved by the "Seller" at "Seller's" Main Office.Acceptance of any products delivered hereunder by "Seller" or any of its affiliated or assignees shall constitute Buyer's agreement to said terms and conditions as set forth herein or as found in our invoices and order forms. No conditions stated by Buyer in its offer or acceptance shall be binding on "Seller" if in conflict with. Inconsistent with , or in addition to "Seller" terms & conditions. Availability of credit is conditioned upon a determination by "Seller" each time an order received.
PRICES
Prices and pricing pollicies will be those set forth in "Seller" price lists in effect at the time of shipment. Prices are subject to change without notice.
TERMS OF PAYMENT
a)
Unless otherwise agreed to in writing, upon approved credit, terms of payment shall be 30 Days Net.
b)Past due invoices are subject to a service charge of 1 1/2% per month (18 per annum, or the maximum legal rate) from invoice date until paid.
c)Orders are subject to a minimum charge of $10. ($3 minimum on cash sales at our counter.) Returned checks are subject to a $15 charge.
d)If Buyer falls to fulfill these terms or "Seller" can be set off and applied by "Seller" may demand immediate full payment and decline to make further deliveries except against cash or satisfactory security.
e)Any indebtedness owing from Buyer to "Seller" can be set off and applied by "Seller" and associated companies on any indebtedness at any time from time to time either before or after maturity or demand.
RETURNS
Customer must obtain a return goods authorization (RGA) prior to returning goods. Unless we have erred in filling your order, all returns must be prepaid. No merchandise will be accepted for return which is made up special or which has been held for over 30 days. We reserve the right to determine if the Buyer has abused the item in question. If it cannot be returned to stock, credit will not be given. All returns must be accompanies by original shipper or invoice. Orders returned due to customer error must be prepaid and are subject to restocking charge. No merchandise will be accepted without an "RGA".
SALES AND OTHER TAXES
Unless otherwise stated, "Seller" prices do not include any taxes whatsoever. Buyer agrees to indemnify "Seller" against payment of the same, whether or not included on Buyer's original invoice.
TITLE
Title and Security interest to the merchandise shall remain in "Seller" until payment to "Seller" of full purchase price by Buyer. "Seller" retains the right to repossess,, and any other remedies provided by law.
DISCLAIMER OF WARRANTIES
Buyer acknowledges and agrees that (i( the merchandise is of a size, design, capacity and manufacture selected by Buyer (ii) "Seller" is not a manufacturer thereof, and (iii) as between "Seller" and Buyer, the buyer purchases the merchandise as is and that "Seller" has not made, nor does it make any representation or warranty or agreement with respect to the fitness, merchantability, condition, quality, durability or suitability of the merchandise in any respect to the fitness, merchantability, condition, quality, durability or suitability of the merchandise in any respect including its fitness for the purposes and uses of the buyer, or as to "Seller" title thereto (Except as to acts or omissions of "Seller" itself), or any other representation or warranty or agreement of any kind or character, express or implied with respect thereto, all of which are hereby specifically disclaimed.
LIMITATION OF LIABILITY
In no even shall "Seller" be liable for loss of profits, indirect, special or consequential damages arising out of any breach of this agreement or obligations under this agreement, nor shall "Seller" by liable for any damages caused by delay in delivery, installation or furnishing of the merchandise or services by any manufacturer of the merchandise or otherwise.
INDEMNITY
The buyer shall defend and indemnify "Seller" from and against (a) any and all loss of or damage to the merchandise, usual wear and tear excepted: b)any claim, cause or action, damages, liability, cost or expenses (including attorney's fees) which may arise or be incurred in any manner in favor of any person relating to the merchandise or any part thereof, including by way of example but not of limitation, claims arising out of or incident to the construction, purchase, delivery, installation, ownership, leasing, sale or return of the merchandise or as a result of its use, maintenance, repair, operation of condition thereof, whether or not any claimed defects in such merchandise are latent or are discoverable: c)any claim, cause of action, cost or expense which may arise or be incurred by reason of or as a result of any act or omission of Buyer for itself or as agent for "Seller" hereunder; and d) any claim, cause of action, cost or expense arising for alleged patent infringement of, for, or as a result of claims for alleged strict liability in tort. The obligations of Buyer herein contained shall survive the expiration of the Agreement as to any loss, damages, claims, cause of action liabilities, costs or expenses.
FIRM NAME _____________________________________________________________________________________________________

I Hereby Certify, That I hold valid seller's permit No._________________issued pursuant to the Sales and Use Tax Law:I am engaged in business of selling
That the tangible personal property described herein which I shall purchase from:________________________________________________________

______________________________will be resold by me in the form of tangible personal property; PROVIDED, however, that in the even any of such property is used for any purpose other then retention, demonstration, or display while holding it for sale in the regular course of business, it is understood that I am required by the Sales and Use Tax Law to report pay for the tax, measured by the purchase price of such property.
Description of the property to be purchased; (must be completed)
_______________________________________________

Dated______________Signature________________________________________________

at____________________By and Tittle (print)____________________________________


Phone ___________________Address
______________________________________

FEDERAL ID NO.
:_______________________________