Submitting a copy of your most recent Financial Statement will expedite the credit application review process. Please provide your latest Financial Statement with this credit application.
The information on this application is for the purpose of obtaining credit. Applicant acknowledges that VIACHEM LTD. will rely on this information for granting credit.
Applicant certifies that such information is true, correct and complete. Applicant authorizes VIACHEM LTD. to investigate Applicant’s credit history including bank reference and personal credit report on the Principals and furnish information on Applicant’s payment performance to credit reporting agencies and other proper persons. Applicant accepts and agrees to the terms and conditions on pages 2 and 3 of this Application. I acknowledge that my signature below authorizes the above named financial
institutions/trade references to furnish credit information to VIACHEM LTD. Fax or photocopies are be deemed to be the equivalent of original signature. Terms are Net 30 days from date of invoice.
If items purchased are tax exempt, please forward your tax exemption certificate(s) to:
2701 N. Dallas Parkway, Suite 500
Plano, TX 75093
Fax: (972) 265-0499
SALE – STANDARD TERMS
5/31/07 Supersedes Terms and Conditions issued 10/23/06