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New Product:
ACARD Blu-Ray SATA Duplicator, 1 to 3
$1,140.00
Purchase Order Account Application
NOTE:
If you already have an account with us, please login at the
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Company Details
* Required information
~ Not required but very helpful
Company Name:
Street Address:
*
City:
*
State/Province:
*
Post Code:
*
Country:
Please Select
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*
Telephone Number:
*
Fax Number:
Credit Amount Requested : $
*
Length of time in business:
~
Company Type:
~
Number of employees:
~
Credit References: Give complete Name, Address, Phone Number, and Fax Number
Reference 1:
*
Address:
*
City:
*
State:
*
Phone:
*
Fax:
*
Reference 2:
*
Address:
*
City:
*
State:
*
Phone:
*
Fax:
*
Reference 3:
~
Address:
~
City:
~
State:
~
Phone:
~
Fax:
~
Accounts Payable Contact:
Gender:
Male
Female
First Name:
*
Last Name:
*
E-Mail Address:
*
Telephone Number:
*
Options
Newsletter:
Account Password
Password:
*
Password Confirmation:
*
TERMS:
NET 30
A FINANCE CHARGE
of 1.5% per month will be added to all outstanding amounts after 45 days from date of invoice.
If this account is refereed to a third party collection agency all associated collection cost will be paid by you, the customer.
Authorization is granted to make credit inquires with the references listed above.
BY CLICKING THE SUBMIT BUTTON BELOW I HAVE READ THE ABOVE AND AGREE TO COMPLY WITH THE TERMS OF PAYMENT AND OTHER STATED CONDITIONS.
Thursday 11 March, 2010
2347228 requests since Saturday 10 July, 2004
Copyright © 2004
Blue Media Supply