User manual NOVA CONTROLS CREDITAPP

[. . . ] CONFIDENTIAL CREDIT APPLICATION To Purchase: Hydro Systems Company Products or Nova Controls Products NOVA CONTROLS LEADING THE WAY A Hydro Systems Company 3798 Round Bottom Road - Cincinnati, OH 45244 Telephone: (513) 271-8800 or (800) 543-7184 ­ Fax: (513) 842 2596 225 Westridge Drive Watsonville, California 95076 You can now access our Confidential Credit Application on our Website: www. hydrosystemsco. com PLEASE PRINT CLEARLY Division or Subsidiary of: City: City: Fax: State: State: Zip: Zip: Company Name: Billing Address: Shipping Address: Telephone: Time in business under present ownership: ( ) ( ) PO# Required? [. . . ] Overdue accounts will be subject to 1 1/2% per month service charge. HYDRO SYSTEMS reserves the right to collect reasonable legal and filing fees, court costs and any other expenses that they may incur in order to collect an account that must be placed with a third party. I authorize HYDRO SYSTEMS to check our credit status with any of the references listed on this application. *A REQUIRED SALES TAX EXEMPTION CERTIFICATE IS TO BE ATTACHED. * Signature of responsible party (required): _________________________________________________Title:___________________________________________ PLEASE PRINT NAME:_____________________________ Date:_________________________________________ FOR HYDRO TO PROCESS YOUR APPLICATION PROMPTLY, PLEASE COMPLETE ENTIRE FORM, RETURN TO ACCOUNTING HYDRO SYSTEMS FOR INTERNAL USE ONLY (once approval has been confirmed, we will notify you by returning this application back to you by fax, with this section completed) TERM/LINE OF CREDIT APPROVED:____________________________ APPROVED BY:______________________________________ DATE:_______________________ ACCT. [. . . ] NO. :_________________________________ SALES REP:________________________ [. . . ]