Orange Coast Pneumatics, Inc.
Powering SMC Pneumatics.com
Credit Application
LEGAL NAME OF COMPANY (“Applicant”)
COMPANY DBA (if applicable)
COMPANY ADDRESS
TAX ID# (if applicable)D-U-N-S#
BILLING ADDRESS (if different from COMPANY ADDRESS)
MAIN PHONE NUMBER
()- FAX NUMBER()-
COMPANY IS A: CORPORATION
SOLE PROPRIETORSHIP
PARTNERSHIP
LLC
IF CORPORATION: STATE OF INCORPORATION
Terms & Conditions:
The parties acknowledge that Applicant may at time to time submit purchase orders to Orange Coast Pneumatics,
Inc. Powering SMC Pneumatics.com which may contain terms and/or conditions contrary or inconsistent with the terms of this credit application
and, therefore, to the extent of any such contrary or inconsistent terms, the parties agree that the terms and conditions of this credit application
shall control and be binding upon Applicant. Upon approval terms will be NET 30 days from the invoice ship date. Past due payments will
result in cancelling or holding shipment of orders. Terms can be changed to credit card anytime at Orange Coast Pneumatics Powering SMC
Pneumatics.com discretion. Attorney’s Fees: In the event of any dispute, litigation or failure to pay in a timely fashion regarding any customer
purchase order and/or Orange Coast Pneumatics, Inc. Powering SMC Pneumatics.com invoice, the prevailing party in such dispute or litigation
shall be entitled to his, her or its attorneys’ fees and costs applicable under California Civil Code Section 1717. Jurisdiction and Venue: In any
action or other proceeding to enforce and/or interpret any agreement between the parties, including, but not limited to, a dispute or litigation
regarding any customer purchase order and/or Orange Coast Pneumatics, Inc. Powering SMC Pneumatics.com invoice, jurisdiction shall be the
Superior Court of California. The parties agree that venue shall be proper in Orange County, California or San Diego Orange County, California,
at the election of Orange Coast Pneumatics, Inc. Powering SMC Pneumatics.com.
Signed TitleDate
Print Name
AMOUNT OF CREDIT LINE REQUESTED:
IS THERE AN ORDER PENDING:
$1,000
YES
$2,500
NO
$5,000
$
ORDER AMOUNT:
BANK ACCOMODATIONS
BANK NAMEPHONEFAX
BANK ADDRESS
CONTACT / LOAN OFFICER
TYPE OF ACCOUNT (CHECKING OR SAVINGS)
ACCOUNT #
TYPE OF ACCOUNT (CHECKING OR SAVINGS)
ACCOUNT #
1.
2.
3.
COMPANY NAME
CONTACT
TRADE REFERENCES
CITY
STATE
ZIP
PHONE
CREDIT LIMIT