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Saturday, July 31, 2010  
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You are here:  Customer Area » Credit Application  
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Credit Application
Name of Firm or Individual
Your Name
Title
Address 1
Address 2
City
State
Zip Code
Phone Number
Fax Number
Email Address
Indicate Ownership
Have you declared Bankruptcy in the last 7 years or had a judgement filed against you?
Are you Tax Exempt? If so we require a copy of your Tax Exemption Form.
Reference 1- Company Name, Contact, and Current Phone or Fax Required.
Reference 2 -Company Name, Contact, and Current Phone or Fax Required.
Reference3 -Company Name, Contact, and Current Phone or Fax Required.
Reference 4 -Company Name, Contact, and Current Phone or Fax Required.
Reference 5 -Company Name, Contact, and Current Phone or Fax Required.
I/We certify all information on this form is correct and agree to honor Fluidraulics Inc. Credit Terms and Conditions.
  
Disclosure of Terms and Conditions

The above hereby applies for credit in accordance with the terme & conditions of Fluidraulics, Inc. as stated on our invoice. Our normal credit terms are Net 30 days. After 60 days, customers will be put on credit hold. We also accept Mastercard, Visa, and American Express. COD orders must ship out of our warehouses. Purchase Order numbers are required by Fluidraulics, Inc. Returns are dealt with on an individual basis beginning with an issuance of a RGA. Restocking charges may or may not apply. All information submitted is kept confidential.

 

NOTE: A copy with a handwritten signature agreeing to our terms will be required if credit is approved.

The above hereby applies for credit in accordance with the terme & conditions of Fluidraulics, Inc. as stated on our invoice. Our normal credit terms are Net 30 days. After 60 days, customers will be put on credit hold. We also accept Mastercard, Visa, and American Express. COD orders must ship out of our warehouses. Purchase Order numbers are required by Fluidraulics, Inc. Returns are dealt with on an individual basis beginning with an issuance of a RGA. Restocking charges may or may not apply. All information submitted is kept confidential.

 

NOTE: A copy with a handwritten signature agreeing to our terms will be required if credit is approved.

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Registration Information

Fluidraulics, Inc does not divulge or share any information you give us as is stated in our privacy notice. Thank you.

Fluidraulics, Inc does not divulge or share any information you give us as is stated in our privacy notice. Thank you.
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