TUBE DOGS Payment Remit to Address:
www.tubedogs.com 4000 Richard Arrington Jr. Blvd. N.
Birmingham, AL 35212
Phone: 205-849-8823(TUBE) Toll Free: 800- Fax: 205-
Payment Terms: ½ % 10-days Net 30
NEW ACCOUNT CREDIT APPLICATION INFORMATION
CO. NAME_________________________________________ BUYER____________________________________
BILLING ADDRESS______________________________________________________
________________________________________________________________________ TAXABLE? Y N
TELEPHONE #_______________________ FAX # ___________________ TAX EXEMPT#_________________
SHIPPING ADDRESS____________________________________________________DUNS#_________________
_______________________________________________________________________________________________
A/P CONTACT:______________________________ E-MAIL__________________________________________
E-mail address for invoicing:______________________________Fuel Surcharge in price or separate item (circle one)
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TUBE DOGS Sales Team __________/__________
TUBE DOGS Sales Management Approval_________________
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WE REQUIRE AT LEAST THREE CREDIT REFERENCES:
1. COMPANY: CITY/STATE: PHONE__________________
ADDRESS: FAX: ____________________
2. COMPANY: CITY/STATE: PHONE__________________
ADDRESS: FAX: ____________________
3. COMPANY: CITY/STATE: PHONE__________________
ADDRESS: FAX: ____________________
BANK: ________________________________________ PHONE_______________________
ADDRESS: _____________________________________ FAX: _________________________
CITY/STATE: __________________________________ CONTACT:____________________
Credit applicant understands that accounts in default of payment terms may be subject to finance charges of 1-1/2% per month, and that applicant will be responsible for all costs of collection, including reasonable attorney’s fees, and that the laws of the State of Alabama will apply. Applicant also understands that no unauthorized deductions will be taken, including for surcharges related to fuel and/or steel – whether such surcharge be detailed as a line item on the invoice, or included in the sales price of the product.
Authorized Applicant Submitting Request_______________________________________Title_______________________________