Application for Credit Terms

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Signatures
Requested Signature
Printed Name
Title
Date
Date Format: MM slash DD slash YYYY
Witness Signature
Printed Name
Title
Date
Date Format: MM slash DD slash YYYY
Agreement
- By submitting this application, you confirm you are authorized to act on behalf of your company and authorize Coolgear Inc. to make inquiries into the references that you have supplied.
- All invoices are to be paid within the established Net Terms agreement from the date of the invoice.
- Claims arising from invoices must be made within 24-48hours of receipt.
- A 5% interest charge will be applied to any outstanding balance greater than30 days past the due date.
- You authorize Coolgear Inc. to charge your credit card the full outstanding balance (plus a 5% processing fee) for any charges that are not paid within 45 days of the due date.
- Minimum purchase for Net Terms is $1000.
Note: Please return completed form and a copy of your company’s W-9 (Taxpayer Identification Number) to [email protected] Processing may take up to 15 business days to complete.
Thank you for your patience.

Authorization for Credit Check
I hereby authorize the obtaining of “credit reports” and/or “investigative consumer reports” concerning
To this end, I hereby authorize, without reservation, the banking institution(s) and business references provided by
and/or information service bureau, to furnish all credit information requested by <strong>Coolgear, Inc., 5120 110th Avenue N., Clearwater, FL 33760; Phone:727-209-1300; Fax: 727-209-1302</strong>; www.coolgear.com. I confirm that I am authorized to act on behalf of
andagree that a facsimile (“fax”), electronic or photographic copy of this Authorization shall be as valid as the original.
Signature
Printed Name
Title
Date
Date Format: MM slash DD slash YYYY

Online Account Registration