COMPANY LEGAL NAME: ____________________________________________________

PARENT COMPANY or DBA: _________________________________________________

CFO or ACCOUNTS PAYABLE CONTACT: _______________________________________

EMAIL FOR ACCTS. PAYABLE: ­­­­________________________________________________

STREET ADDRESS: _________________________________________________________

CITY, STATE, ZIP: __________________________________________________________

PHONE NUMBER (main): ____________________________________________________

YEARS IN BUSINESS: ______ (circle): Corporation    Partnership    LLC   Sole Proprietorship

DUN & BRADSTREET #: ________________ STATE OF INCORPORATION: ___________

CREDIT AMT. REQUESTED: $______________ TERMS REQUESTED: ________________

ARE PRODUCTS FOR RESALE & EXEMPT FROM OHIO SALES TAX?: ________________

FCI DIGITAL SALES REPRESENTATIVE: _______________________________________

BANK INFORMATION

NAME & BRANCH: ________________________________________________________

STREET ADDRESS: ­_________________________________________________________

CITY, STATE, ZIP: _________________________________________________________

AVG. MONTLY BALANCE OF CHECKING ACCOUNT:$____________________________

BANK CONTACT: ________________________________ Phone: __________________

EMAIL ADDRESS: _________________________________________________________

TRADE REFERENCES (list names of suppliers with highest line of credit)

1.__________________________________________________________________________

   Company Name & Contact 

   __________________________________________________________________________

   Phone Number                                             Email address

2.__________________________________________________________________________

   Company Name & Contact

   __________________________________________________________________________

   Phone Number                                             Email address

3.__________________________________________________________________________

   Company Name & Contact

   __________________________________________________________________________

   Phone Number                                            Email address

IN CONSIDERATION OF FOUR COLOUR IMPORTS, LTD. d/b/a FCI DIGITAL (FCID), EXTENDING CREDIT TO AND PERMITTING PURCHASES TO BE MADE ON A CREDIT ACCOUNT BASIS, THE UNDERSIGNED (CUSTOMER) HEREBY AGREES TO THE FOLLOWING:

1. Customer acknowledges that he has read and agrees to the industry standard PIA Terms and Conditions of Sale for this and all jobs contracted with FCID. All sales hereunder are at the sole discretion of the FCID, and FCID may discontinue credit sales at FCID discretion at any time. Customer is required to notify FCID within 30 days of receipt of product if product is damaged and/or the invoice is disputed for any reason. Customer agrees to work in good faith with FCID to mitigate any damages caused by FCID and to resolve any disputes quickly and reasonably.

2. Customer will pay all invoices rendered within 30 days of the invoice date, or under terms issued to customer at the time the order is accepted by FCID (as stated in writing from FCID). Customer agrees to pay FCID a finance charge of 1.5% per month on the unpaid portion of any and all overdue invoices. Credit card payments made by phone are subject to a 3% convenience fee to cover processing charges.

3. In the event Customer fails to make payments when due or is in default of any conditions or covenants contained in the final contract, Customer agrees to pay FCID all reasonable attorney fees, collection costs, and related expenses incurred in recovering any money due and owing to FCID.  FCID reserves the right to change payment terms at any time and require 100% deposit before printing or delivery if in the sole judgment of FCID, Customer demands are deemed unreasonable or Customer's credit worthiness deteriorates substantially, including but not limited to bankruptcy filings.

4. During the course of business between the two parties, Customer may come in contact with and/or otherwise obtain the contact information for FCID suppliers, printers or other third-parties whom may assist FCID in providing its services to Customer (collectively referred to as the “Suppliers”). Customer recognizes that FCID has invested substantial costs and expenses in obtaining and cultivating its relationship with its Suppliers and Customer agrees that it will not take any actions to directly contact the Suppliers without the consent of FCID.  Customer further agrees that at the termination of the business relationship between Customer and FCID, Customer will not engage or otherwise do business with the Suppliers without authorization of FCID for a period of two years from date of last FCID invoice.

5. BINDING ARBITRATION: All controversies or claims ensuing out of or relating to any purchase order, other accepted agreement to purchase material specified on any quotation now and in the future, any amendment thereof or the transaction contemplated thereby, shall be submitted to and settled by binding arbitration in Louisville, Kentucky in accordance with the rules, regulations, and procedures of the American Arbitration Association then in force. Judgment upon the award of the arbiter may be entered in any court having jurisdiction thereof. Provided however, nothing herein contained shall preclude litigation by FCID for the enforcement of payment obligations of the Customer hereunder and/or realization upon any security therefore as to which Customer hereby submits to the jurisdiction of the Kentucky courts.

6. BANKRUPTCY: In the event Customer files a petition in bankruptcy or if a petition of bankruptcy is filed against Customer, of if Customer is lawfully required to make an assignment for the benefit of its creditors or an agreement pursuant to any bankruptcy law, or if the customer discontinues its business, or if a receiver is appointed for it or its business, FCID retains the option to cease any further work on jobs in progress and to decline acceptance of any further work quoted or contracted. Upon occurrence of any such event, all sums owing to FCID shall then be immediately due and payable, but termination of this agreement by reasons of this case shall not relieve Customer of any obligation to FCID remaining unfulfilled on date of such termination.

7. AUTHORIZATION: Where credit is requested above, the undersigned consents to FCID obtaining credit from commercial credit reporting agencies to help FCID assess the credit worthiness of my company under the guidelines of the Fair Credit Reporting Act. I attest that I have the authority to grant FCID this consent and to bind the company legally to the terms of this agreement.

 

_____________________________                               ___________________________

Signature of Officer / Principal                                   Name (PRINTED)

   

 

____________________________                                 ___________________________

Title                                                                             Date

PERSONAL GUARANTEE: In consideration of any credit extended, up to or exceeding the original amount requested and/or granted, I personally guarantee full and prompt payment of all indebtedness of the above named company for all products & services furnished by FCI Digital plus all collection costs, including attorney fees and court costs if account is more than 90 days past due and/or placed for collection. I hereby waive notice of acceptance, default and exemption. Such guarantee shall remain in force until 30 days after revocation in writing and such revocation shall not affect indebtedness incurred prior to receipt of written notice. This guarantee shall be governed by and construed in accordance with the laws of the Commonwealth of Kentucky.

____________________________                               _________________________

Signature of Principal                                               Name (PRINTED)

 

PLEASE FILL OUT, SIGN AND RETURN BY EMAIL TO: AR@fourcolour.com