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NEW VENDOR APPLICATION

We are always looking for new distributors and resellers of our products. Please fill out the following form and someone from our sales department will contact you shortly.

Fields marked with an asterix (*) are mandatory

Do you already have established marketing channels?
Major department store: Yes No
 
If yes, please specify store name:
 
What products do you currently carry?
 
Comments / Information you would like to add:
 
How do you plan on selling / distributing our products?
Retails store: Yes No
If yes, what type:
 
New Account References:
 
First Name:
Last Name:
Company Name:
Date of birth:
Address:
City:
State / Province:
Postal / Zip Code:
Tel:
Fax:
 
Buyer's Information:
 
Buyer's Name: *
EIN No. / Federal Tax ID:
Buyer's Email Address: *
Present Owner Since:
Owner:
Franchise or Subsidiary of:
Contacted by: (if applicable)
A/P Contact Name:
A/P Email Address:
DNB Number:
Terms requested: Net 30 COD CCD
Website:
Names of Current
Trade References:
Tel:
Bank Reference:
Bank Account:
Bank Address:
Bank Tel:
 
Mail Order Catalogue: Yes No
 
Other comments:

I hereby certify that the information in this credit application is correct. I hereby authorize references listed in this credit application to release the information necessary to assist Fiberlinks Textiles Inc. in establishing a line of credit. All invoices are to be paid within terms from the date of the invoice. Claims arising from invoices must be made within seven working days of receipt. If we default on payment and it is necessary for Fiberlinks Textiles Inc. to institute legal action, I (we) agree to pay all necessary costs and reasonable attorney fees incurred by Fiberlinks Textiles Inc. If credit is approved, we will comply with the terms and conditions provided. *
 

 

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