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Net Terms Application

 NET TERMS APPLICATION
(Please print, complete, and email to us at Info@cielohub.com

For Net Terms, please complete the following forms.  CIELO Hub can’t ship any order on terms until the Net Terms Application is completed and returned. Other consideration may apply.

We must have on file:
( 1 ) New Terms Application with credit references, at least 3
( 2 ) Tax Exempt Form for CALIFORNIA (if applicable).
( 3 ) Net Terms Agreement  

Please allow 5-7 days to process credit applications. All questions must be filled out.


DATE:___________


COMPANY INFORMATION

COMPANY/NAME:___________________________________________________

BILLING ADDRESS:_________________________________________________

CITY STATE ZIP :____________________________________________________

SHIPPING ADDRESS:________________________________________________

CITY STATE ZIP:_____________________________________________________

TYPE OF  BUSINESS:________________________________________________

PHONE:_____________________________________________________________

EMAIL:______________________________________________________________

WEBSITE:___________________________________________________________


CONTACT INFORMATION

OWNER/PRESIDENT NAME:__________________________________________

COMPANY TAX ID# OR SS#: __________________________________________


PAYABLES CONTACT:______________
__________________________________

E-MAIL :____________________________________________________________


BUYER CONTACT:___________________________________________________

E-MAIL:____________________________________________________________

HOW DID YOU HEAR ABOUT US?:____________________________________


TRADE REFERENCES 

REFERENCE 1

COMPANY NAME/NAME :____________________________________________

PHONE :____________________________________________________________

EMAIL:_____________________________________________________________

BUSINESS RELATIONSHIP:___________________________________________

 

REFERENCE 2:

COMPANY NAME/NAME :____________________________________________

PHONE :____________________________________________________________

EMAIL:_____________________________________________________________

BUSINESS RELATIONSHIP:___________________________________________

 

REFERENCE 3

COMPANY NAME/NAME :____________________________________________

PHONE :____________________________________________________________

EMAIL:_____________________________________________________________

BUSINESS RELATIONSHIP:___________________________________________



FULL NAME AND TITLE:

 

_________________________________________________________________

AUTHORIZED SIGNATURE

 

_________________________________________________________________



CIELO HUB
Info@cielohub.com
714-756-2006 x3