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CREDIT APPLICATION
Track CREDIT APPLICATION
RESELLER CERTIFICATE
RELEASE INFO

 
 


RESELLER CREDIT APPLICATION
Global PC Direct Inc.
2360 Qume Drive, Suite B
San Jose, CA 95131
TEL: 408-526-9800		 Please complete all sections of this application. A recent financial
statement might be required to approve your requested terms. This
application must be signed by a principal, partner or authorized officer.
FAX OR MAIL TO ATTENTION: ACCOUNTS RECEIVABLE

Either Fillup this page properly or Click Here to download the PDF file for free.

Credit Type :   Sales Representative :  

Company Information

Company Name
 DBA(If any)
Purchasing Contact:
Billing Address
City State
Zip Code Country
Phone
 Fax
 Email
D&B Number
 Type Of Business   Corporation   Partnership   Proprietorship  
Federal Tax ID
 State of Incorporation
 State Registration No.

Names of Principals and Titles:

Owner Name
 Phone No.
 Email
President/CEO/Manager Name
 Phone No.
 Email
Purchaser Name
 Phone No.
 Email
Years In Business
 Requested Terms   Credit Card   COD   Net Terms  
We are requesting a credit amount of: $
 Sales or Use Tax Permit Number(Include copy)
Do you currently use credit cards for company purchases?   Yes   No   Global PC Direct accepts MasterCard & Visa only.

In order to use a credit card to purchase from Global PC Direct Inc. the following information must be provided

Card Type   Master Card   Visa   Account Number
CVV2 Number (3-4 digits located near signature line)
 Expiration Date
Cardholder's Name
 Cardholder's Phone
Cardholder's Billing Address
City
 State
 Zip
 Country
Issuing Financial Institution
 Customer Service Phone (back of card)
Annual Revenue Under $50,000 $50,000 to $100,000 $100,000 to $500,000
$500,000 to $1,000,000 $1,000,000 to $5,000,000 $5,000,000 to $10,000,000 Over $10,000,000

(Please provide two references if available)

Primary Bank Information

Bank Name
 Account Number
 Account Type
Bank Address
 Bank Tel. No.
 Bank Fax No.
City State Zip Code
Contact Person

Secondary Bank Information

Bank Name
 Account Number
 Account Type
Bank Address
 Bank Tel. No.
 Bank Fax No.
City State Zip Code
Contact Person

Please list at least two companies with whom you have established credit and will release credit information

Trade Reference

Note: Ingram Micro and Tech Data will not release credit information.
1. Company Name
 Phone
 Fax
Address
 Account Number
 Terms
City State Zip Code
Type Of Business
 Credit Limit
2. Company Name
 Phone
 Fax
Address
 Account Number
 Terms
City State Zip Code
Type Of Business
 Credit Limit
3. Company Name
 Phone
 Fax
Address
 Account Number
 Terms
City State Zip Code
Type Of Business
 Credit Limit

Global PC Direct Inc., and its agents, are hereby given permission to investigate the credit worthiness of applicant, including contacting applicant's references. Except for such purposes, this credit application will remain confidential. Applicant acknowledges that Global PC Direct Inc. will rely upon statements and representations made herein, and that they were made for the purpose of establishing credit terms with our company. Terms prior to credit approval shall be Prepaid In Full unless otherwise stated. Upon credit approval, customer agrees to pay all invoices in accordance with credit terms extended. If payment is not received within credit terms expressed, customer shall be subject to finance charges of 1.5 percent per month on all past due invoices and reasonable legal and attorney fees incurred by Global PC Direct Inc. to collect unpaid balances.

We (applicant) agree to the terms of this credit application and authorize the above trade and bank references to release credit information to Global PC Direct Inc.

By accepting below you represent that your business is a valid business entity and that you are an authorized representative of the business with authority to enter into contractual agreements. You hereby agree to the terms of sale listed on each Global PC Direct invoice. Invoices and account statements will be provided by e-mail to the designated contact. In case of a credit sale, you acknowledge that Global PC Direct will charge a finance fee of one and one-half percent per each thirty day period, or part thereof, for any invoice that is past due. In order to induce Global PC Direct to extend credit for the purchase of Global PC Direct's products ("Products") and for other good and valuable consideration, you hereby convey, grant and transfer to Global PC Direct a purchase money security interest in the Products and all proceeds until you perform all your obligations due to Global PC Direct. You agree to execute any financing statements that Global PC Direct may request in order to protect Global PC Direct's security interest and hereby authorize Global PC Direct to execute and irrevocably appoint Global PC Direct as your attorney in fact for the execution of such financing statements and for the exercise of its remedies as a secured party. On behalf of your business, you certify that all information provided in this Application is complete and accurate, and you authorize Global PC Direct to obtain information about you personally and your business from credit reporting agencies and other sources Global PC Direct deems appropriate in considering this Application and subsequently for purposes of updates, renewals, or extensions of credit granted as a result of this Application or in receiving or collecting the Account. You agree that your transactions with Global PC Direct shall be governed by and construed in accordance with the laws of the State of California, without giving effect to its conflicts of laws principals. You further agree that any lawsuit between Global PC Direct and yourselves shall be brought only in the state or federal courts of Santa Clara countY of California. You hereby submit to the jurisdiction of such courts in any dispute with Global PC Direct and you waive any objections to venue being in such courts.