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Shop 31 Pavilion Mall, 13 Constant Spring Road, Kin
gston, Jamaica
ACCOUNT APPLICATION
Company Name:
Tel #:
Fax #:
Billing Address:
City:
State:
Website:
This Company is a:
[ ] Corporation [ ] Partnership
[ ] Proprietorship [ ] LLC
Name of [ ] Parent Company
or [ ] Subsidiary (if any):
Tax ID #:
Established Date:
Type of Business:
Latest Annual Sales:
Bus. Registration #:
No. of employees:
Owner’s Name:
Product Line Intend to Purchase:
Requested Credit Line:
Term Requested ( Indicate Preference):
[ ] Prepaid; [ ] COD Cashier Check;
[ ] COD Company Check; [ ]Net Term ____
____ Days
.
Please attach a copy of your TCC, Business Registra
tion and Photo ID.
Bank References
1. Bank Name:
Address:
Contact Person:
Title:
Tel #:
Fax #:
Checking A/C # :
Date Open:
Saving A/C # :
Date Open:
Trade References
Please list only major trade.
1. Company Name:
Address:
Contact Person;
Title:
Tel #:
Fax #:
Account # : Date Opened:
Credit Limit:
Term:
2. Company Name:
Address:
Contact Person:
Title:
Tel #:
Fax # :
Account # :
Date Opened:
Credit Limit:
Term:
3. Company Name:
Address:
Contact Person:
Title:
Tel #:
Fax #:
Account # :
Date Opened:
Credit Limit:
Term:
2
This account application needs to be submitted in o
rder to open an account with Royale Computers & Acc
essories Ltd.
Customer certifies that the above information is tr
ue and correct and authorizes investigation of all
credit references listed.
___________________________________________________
_______________________________________________
_
Authorized Officer’s Signature Name & Title (Pr
int) Date
Important Note:
If net term requested
, please supply the most recent annual financial st
atement, including balance sheet,
income statement, cash flow statement, and accompan
ying notes.
PERSONAL GUARANTEE
The undersigned, having a financial interest in thi
s account application and also understands that Roy
ale Computers &
Accessories Ltd. would not agree to accept this acc
ount application if the undersigned did not execute
and deliver to Royale
Computers & Accessories Ltd. this personal guarante
e,
for value received, hereby unconditionally guarant
ee(s) to Royale
Computers & Accessories Ltd., full payment of all
sums due and owing, pursuant to the terms indicated
. The undersigned
further guarantee(s) all renewals, extension, addit
ions thereof. The undersigned also agree(s) to subm
it to exclusive legal
jurisdiction exercised by the state and/or federal
courts having jurisdiction in Jamaica. Royale Compu
ters & Accessories
Ltd.shall have the right to proceed against Guarant
or following any breach or default by the Applicant
without first
instituting proceedings against the Applicant and w
ithout previous notice to or demand upon either the
Applicant or
Guarantor. Upon payment in full of any invoices, th
is guarantee will remain in effect and will apply t
o any purchases made
thereafter.
Guarantor
___________________________________________________
______________________________________
(President/Owner only) Signature
Name & Title (Print)
Date
___________________________________________________
_______________________________________________
Driver’s License # and State
3
BANK REFERENCE REQUEST
Bank Name:
Bank Address:
Bank Tel # :
Bank Fax #:
Company Name:
Company Address:
Company Tel #:
Company Fax #:
The company named hereby authorized the release of
credit and bank information. Please fill out the fo
llowing
information and fax this form back to us as soon as
possible. We appreciate your cooperation. We will
maintain
the information confidential.
Account #: [ ] Checking; [ ] Savin
g
Account Open Date:
Current Balance:
Average Balance (last 12 months):
For The Last 24 Months,
Number of Stop-Payments ____________
Number of NSF ____________
Comments Of This Account: (confidentially controlle
d):
Information Provided By (Bank Officer):
Title:
Signature:
Date:
Financial Authorization – To Release Confidential I
nformation
To: Financial Institution
Please accept this as authorization to release the
requested information to Royale Computers & Accesso
ries Ltd
.
From:______________________________________________
______________________________________
Company Name Authorized Signatur
e Name & Title (Print)
Date
Thank you very much for your prompt attention to th
is request. Please fax back to
(876)754-2711 Attn: Credit
Dept.
or call us at (876)754-5048 if you have any questi
ons or concerns.