Tubelite Check Acceptance Form

Tubelite Check Acceptance Form - Business / Personal Check Guarantee

I/We, the principal(s) of the below named firm, in order to induce Tubelite Company / Tube Light Company, to accept business / personal checks for purchases made by the below named firm, do hereby, jointly and severally, guarantee payment of all checks tendered, and agree to pay all costs of collection of any check presented including, but not limited to, costs, fees, and reasonable attorney fees, without judgment first being obtained against the below named firm. Venue for any action taken will be at the discretion of Tubelite Company / Tube Light Company.

Account Number*

Owner (s) Name*

First Name

Last Name

Phone*

Firm Name*

Legal Name if D.B.A*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Federal Tax I.D. Number*

Type of Business*

Years at present location since Year Established*

Is Business Incorporated? If so what State and Year*

Bank Name & Account Number*

Branch Phone Number & Contact*

Bank Address*

Address Line 1

Address Line 2

City

State

ZIP Code

I hereby state that I have read and agree to the TERMS AND CONDITIONS of the TUBELITE Co Inc. I hereby agree to a $35.00 service charge on each returned check. I acknowledge the right of Tubelite Company to revoke my CHECK ACCEPTANCE privileges at any time, at its discretion without notice.By signing this form I authorize the bank or suppliers listed permission to release any requested financial information to Tubelite.

Signature*

[clear]

Signature of Officer, Owner or Parner

CD Approval

By*

Full Legal Name of Firm

Action

Signed By*

Print Name and Title

Date/Time

TERMS AND CONDITIONS

TAXES - Taxes or other government charges upon the sale or shipment of materials shall be added to the price of any charges, unless an appropriate exemption form, properly completed, is on file with Tubelite.

TERMS OF PAYMENT - Credit accounts and business checks acceptance are available upon approval of CREDIT APPLICATION or CHECK

ACCEPTANCE FORM. - Tubelite reserves the right to revoke either Credit or Check acceptance at Tubelite discretion.

RETURNED CHECKS - Any check presented to Tubelite, that is returned unpaid from the customer’s bank, will cause the customer to be liable for Thirty Five ($35.00) and shall be added to customer’s account. In addition, customer’s credit standing and terms of payment with Tubelite, will be subject to review. Customer shall be liable for any costs incurred due to changes and/or cancellations of custom orders. Tubelite may, at its discretion, retain an attorney, collection agency, or other outside firm for the collection of NSF checks. Customer shall be liable for any and all collection costs, including, but not limited to: Attorney fees, collection cost, court costs, and service charges.

RETURNED GOODS - No material shall be returned to Tubelite for credit without prior authorization. Material to be returned must be in original condition, and of saleable quality. Modified, cut, altered or damaged material cannot be accepted for return. Any freight charges for returned material shall be the responsibility of the customer unless a change is approve by the branch managers. If requested by Tubelite, purchaser shall furnish proof of purchase prior to the issuance of any credit. Restocking or handling charge of 15% may apply.

INSPECTIONS - Purchaser shall immediately inspect all materials upon receipt. Purchaser shall notify Tubelite within 5 business days of receipt of any defects, shortages, damages or improper materials. Failure to notify Tubelite shall constitute a waiver of claim against Tubelite. Tubelite’s liability shall be limited to at its option to repair, replace, or refund the purchase price of defective material. No repairs shall be made to the defective material by the customer without prior approval of Tubelite.