COULEUR NATURE ACCOUNT APPLICATION

Size: px

Start display at page:

Download "COULEUR NATURE ACCOUNT APPLICATION"

Agnes Warren
5 years ago
Views:

1 ACCOUNT APPLICATION

2 APPLICATION FORMS Please fill in the application forms and send us your first order. FORM 1: ACCOUNT INFORMATION REQUIRED FORM 2: TAX ID FORM 3: CREDIT CARD AUTHORIZATION FORM 4: ACKNOWLEDGEMENT Application not fully completed cannot be processed. Page 2

3 STEP 1: ACCOUNT INFORMATION As a potential customer of Couleur Nature, we are excited to introduce our collection to you. Please note, we work extremely hard to protect our customer network and location verification are key to establishing new account locations. In order to determine eligibility for a new account, please fill out the information below. ACCOUNT INFORMATION BUSINESS NAME: CONTACT NAME: STREET ADDRESS: CITI/STATE/ZIP CODE: PHONE: FAX: ADDRESS: WEBSITE: Customer Signature Date Print Name FAX TO OR TO INFO@COULEURNATURE.COM Please allow 2 weeks for response. ======================================== ====== INTERNAL USE ONLY. APPROVED CN REASON: APPROVED REGIONAL REP - DECLINED Page 3

4 STEP 2: TAX ID Please attach a copy of your TAX ID Certificate here. CN will not accept you application without it. ATTACH TAX ID HERE. Page 4

5 CREDIT CARD AUTHORIZATION ATION STEP 3: CREDIT CARD AUTHORIZATION DATE : I,, authorize Couleur Nature to bill my MasterCard Visa American Express account for services Products supplied to (Please print your company name here) CREDIT CARD #: EXP. DATE: CV2: Mastercard Visa is a 3 digit number on the back of the card. American Express is a 4 digit number on the front of the card. Customer Signature Date Print Name Customers with Credit Cards: Credit Cards will be charged same day while order is processed. Page 5

6 STEP 4: ACKNOWLEDGEMENT As representative of (Company Name), I acknowledge I have received the New Customer Package and have read it and understand the terms and conditions of how I will work Couleur Nature. I understand that I am invoiced same day of shipment. I understand I am responsible for all shipping and handling charges on all shipments, including refusals and returns. I understand that for my protection, that if I cancel an order, I receive a cancellation number from Couleur Nature. I understand that many of the products Couleur Nature sell are hand-printed, and as such, often have slight blemishes or variations from the photographs on our website. Returns for minor cosmetic defects will not be accepted. I understand that all products received UPS must be inspected within 14 days of receipt. Failure to do so will result in a loss. I understand that Couleur Nature desires to build a long term partnership with their wholesalers and that this package was given to me to avoid any surprise and confusion in the future. Signature Date Print Name Page 6

7 ORDER FORM - PAGE 1 PLEASE PRINT CLEARLY P.O. #: DATE: BILLING INFORMATION COMPANY NAME : CONTACT NAME : CN REP: ADDRESS: STE/APT: REP GROUP: CITY, STATE, ZIP: PHONE: CELL PHONE: FAX: BUYER (Required): PAYABLES (Required): SHIPPING INFORMATION SAME AS ABOVE COMPANY NAME : CONTACT NAME : ADDRESS: STE/APT: CITY, STATE, ZIP: PHONE: Page 7

8 ORDER ORDER FORM - PAGE 2 COMPANY NAME: P.O. #: QTY ITEM# DESCRIPTION UNIT PRICE TOTAL PRICE TOTAL PAYMENT MASTERCARD VISA AMERICAN EXPRESS NAME ON CARD: DATE: CREDIT CARD #: EXP. DATE: CV2 (3 Digits in the back if the card): SIGNATURE: FAX PAGES OF ORDER FORM TO: OR SCAN AND TO: INFO@COULEURNATURE.COM Page 8

TROY Group Inc. Digital Imaging Order Form

TROY Group Inc. Digital Imaging Order Form TROY Group Inc. offers a variety of digital imaging services for TROY and Hewlett-Packard printers. Digitized signatures and/or logos can be provided to you on