Accounts Payable Contact. Tax Exempt: ❑ Yes ❑ No Invoices: ❑ Email ❑ Mailed If yes, please attach tax-exemption certificate. Email Address: Federal ID#: Website: D&B #: Has bankruptcy ever been filed? ❑ Yes ❑ No Monthly Credit Need: $ If yes, please give details: NAMES OF OWNERS, PARTNERS OR OFFICERS PARENT COMPANY OR SUBSIDIARY LOCATIONS NAME TITLE COMPANY NAME ADDRESS Bank Name: Address: ❑ Checking Account # Bank Representative: ❑ Savings Account # Telephone: ❑ Loan Account # Fax: BANKING INFORMATION CREDIT REFERENCE COMPANY NAME & CONTACT EMAIL FAX TELEPHONE 1) 2) 3)
Accounts Payable Contact. Phone: Ext: A/P Email Address: Credit Limit Requested: $ *All invoices will be sent to the email address listed above unless otherwise indicated. Payment Terms are NET30. We accept electronic payments via ACH payment processing. For more info please email xx@xxxxxxxxx.xxx. * Bank Reference Institution Name: Account #: Contact Name: Address: Phone: Email: Institution Name: Account #: Contact Name: Address: Phone: Email: Company Name: Company Name: Company Name: Contact Name: Contact Name: Contact Name: Account Number: Account Number: Account Number: Address: Address: Address: Phone: Phone: Phone: Email: Email: Email: Trade References By the signature below you are representing that you have authority to enter into this agreement and the information contained in this Application and any attachment is true, correct and complete. You hereby authorize Cast-Crete USA, LLC to inquire into and obtain information from bank references, trade references, credit reporting agencies and other sources as deemed necessary to investigate the credit and financial history of the business, partners, owners, and any individual guarantors, and you authorize the above-named Bank and Trade References to furnish account credit information and for Cast-Crete USA, LLC to obtain credit information at any time and any number of times. If credit is extended, you agree to be bound by all of the terms and conditions on the following pages of this Application and on Cast-Crete USA, LLC invoices. Authorized Signature Title Cast-Crete Sales Rep: Xxxxxx Xxxxx Date Revised 4/6/2022 TERMS AND CONDITIONS: Cast-Crete USA, LLC (“Cast-Crete”) hereby agrees to sell to Customer and Customer hereby agrees to purchase from Cast- Crete goods and materials, subject to all terms, conditions and provisions as set forth below or herein (hereinafter "Terms and Conditions").
Accounts Payable Contact. Email: Phone Number: Ext.: Fax: Title: Receiving Vessel(s): Estimated Monthly Volume (in Gallons): Lube: Fuel: Other: , Total Credit Requested: $ Invoice Delivery Method: Mail to billing address Fax Email Customer Requirements: PO: Yes No AFE: Yes No Rig/Well: Yes No REQ: Yes No Location: Yes No Metric Ton: Yes No State Sales & Use Tax Exempt: Yes No Fuel Tax Exempt: Yes - Ocean Vessel Yes - Permit Yes - Signed Statement No- Not Exempt Bank Affiliation: Name of Bank: Account #: Full Address: Bank Officer: Phone: Fax: References: (Three (3) Required) Must have a history of one year or more. No landlords, no credit or utility companies and no wireless carriers. Please make sure email, phone & fax numbers are current.
Examples of Accounts Payable Contact in a sentence
Name: Title: Address: City: State: Zip: Telephone: Fax: Email Address: Backup Accounts Payable Contact (Settlement & Billing).
Detailed invoices shall be submitted to the Accounts Payable Contact via email within 30 days from the completion of the scope of service or prior to renewal.
Phone)781-817-4001 (Fax)info@thenorfolkcompanies.com Commercial Credit Application Company Information Date Tax ID#: Norfolk Sales Rep: Company Name (“Applicant”) _ Street Address (No P.O. Box allowed) City: State: Zip Code: Phone # ( ) Fax #: ( ) Billing Address: City: State: Zip Code: Accounts Payable Contact: Ext.
Contact Information Liaison Name Phone Email Secondary Liaison Name (optional) Phone Email Shareholding Delegate (optional) Phone Email Name of Accounts Payable Contact Phone Email I agree to all the above Signature of authorizing individual Date Witness signature Name of Witness (printed) Account Preferences Liaison Account Permissions *Recommended.
The Contractor shall submit detailed invoices to the Accounts Payable Contact via email within thirty (30) days from the completion of the Scope of Work or prior to renewal.
More Definitions of Accounts Payable Contact
Accounts Payable Contact. Name: Phone: Email: PERSONAL INFORMATION List below the full names, addresses, social security numbers, phone numbers, and email addresses of the principals, partners, officers, managing members, and/or the sole proprietor. Name Address Social Security Number Phone Email TRADE REFERENCES Company Name: Phone: Address: Fax: City, State, Zip Code: Email: Type of account: Contact Name: Company Name: Phone: Address: Fax: City, State, Zip Code: Email: Type of account: Contact Name: Company Name: Phone: Street Address: Fax: City, State, Zip Code: Email: Type of account: Contact Name: PAPERLESS BILLING AND WEB ACCESS I would like to receive the following by email to address noted: (Check all that apply.) Statements to Invoices to I want to sign up with a personal username on XXXX-XXXXXX.XXX to: (Check all that apply.) Submit orders Create bids View Account Info View Invoices View Statements Preferred Username: Please contact us for additional sign-ups. I am interested in making payments electronically: Yes No (If yes, we will provide an ACH Enrollment Form.)
Accounts Payable Contact. Name: Xxx Xxxxxxxxx Address: 000 Xxxx Xxxxxx Xxxxxxxxxx, XX 00000 Telephone: (000) 000-0000 Fax: (000) 000-0000 Customer Project Manager: Name: Xxx Xxxxxxxxx Address: 000 Xxxx Xxxxxx Xxxxxxxxxx, XX 00000 Telephone: (000)000-0000 Fax: (000)000-0000 Purchase Order No. ---------- or Purchase Order Exemption Acknowledgment: Customer does not issue Purchase Orders for Services, however, Customer agrees to pay for Services performed under this EC, as specified in the EC and/or Agreement. /s/ --------------------------------- By: Customer Purchasing Agent Tax Information
Accounts Payable Contact. Phone: Address: City: State: Zip: Phone: Fax: Email(Required): Course Locations For Classroom Learning courses, please contact us at 212‐233‐3500 regarding specific training locations. Because we have multiple locations, always double‐ check your confirmation letter for the exact course location. Course Schedule For Classroom Learning courses, registration is at 8:00 a.m. on the first day. Standard Classroom Learning courses begin at 8:30 a.m. and conclude at approximately 4:30 p.m. each day. However, please note Boot Camps have extended hours and often run well into the evening. Inquire for specific details. Selected Events or Courses: Date: Cost: Date: Cost: Date: Cost: Date: Cost: Attendance Policy If you are unable to attend your scheduled training class, please contact 212‐ 233‐3500. We require 16 calendar days notice to reschedule or to cancel any registration (and receive refund for pre‐payment). Failure to provide the required notification will result in 100% charge of the course. If a student does not attend a scheduled course without prior notification it will result in full forfeiture of the funds and no reschedule will be allowed. Within the required notification period, only student substitutions will be permitted. Reschedules are permitted at anytime with 16 or more calendar days notice. Enrollments must be rescheduled within six months of the cancel date or funds on account will be forfeited. Payment Information TOTAL COST: Payment Type: (If paying with Purchase Order or check, fax copy along with registration) Credit Card Type: Master Card Visa AMEX Discover Credit Car Number: Exp Date: Name as it appears on the card: Boot Camp Attendance Policy The Boot Camp Attendance Policy is the same as listed above, however, if student materials have been mailed in advance of the cancellation, a $500 fee will be charged. I, the undersigned, have read, understand and agree the above conditions Signature: Date: Future Media Concepts, Inc Xxxxxxx Xxxx, Registration Manager 000 Xxxxxxxx | Xxxxx 0000 | Xxx Xxxx, XX 00000 | 212‐233‐3500 Please Fax To: 2122333517
Accounts Payable Contact. Phone: Address: City: State: Zip: Phone: Fax: Email(Required): Selected Events or Courses: Date: Cost: Date: Cost: Date: Cost: Date: Cost: Courseware Format: E‐Book Hard Copy How did you hear about FMC? Who financed your training? Self Employer Special requests or comments: Coupon or discount: GSA Eligible: 17.25% single class 20% multi‐class 6.25% onsite/master class GSA Contract: MOBIS 874 Schedule 70 Information Technology State and Local Federal Payment Information TOTAL COST: Payment Type: (If paying with Purchase Order or check, fax copy along with registration) Credit Card Type: Master Card Visa AMEX Discover Credit Car Number: Exp Date: Name as it appears on the card: Payment must be received at least 5 days prior to class start date or 30 days from registration or whichever comes first. For anyone who registers within 5 days of the start date, payment is due upon registration. All courses must be registered and completed within 1 year of registration date. If courses are not completed within 1 year of registration date, all payments and courses will be forfeited.
Accounts Payable Contact. Name: Phone: Email: Fax Bank Account Details: Bank: Branch: Address: Billing Cycle: Do you quote order Numbers? (Yes or No) Nature of Business: (refers to Anzsic Code) Credit Limit Requested: $ : Companies, Trustees, Sole Traders and Business Proprietors Enter details of all Directors, Directors of Corporate Trustees, Sole Traders and Business Proprietors Full Name Date of Birth Driver’s License Number Residential Address All Applicants must complete this section Enter Trade references – Major suppliers Name Location Phone Relevant terms of this Credit Application:
Accounts Payable Contact. Phone: Address: City: State: Zip: Phone: Fax: Email (required): Selected events or courses: Date: Cost: Date: Cost: Date: Cost: Date: Cost: How did you hear about FMC? Who financed your training? Self Employer Special requests or comments: Coupon or discount: Payment must be received at least 5 days prior to class start date or 30 days from registration, whichever comes first. For anyone who registers within 5 days of the start date, payment is due upon registration. All course/s must be registered and completed within 1 year of registration date. If courses are not completed within 1 year of registration date, all payments and courses will be forfeited.