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Moore-Handley, Inc.
A National Hardware Distributor
 
...Founded in the 19th Century...Ready for the 21st.
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Instructions:
  1. Fill in the blanks on the credit application
  2. Click the SEND button
  3. The credit process will start immediately with the approval confirmation by telephone.
 
   
 

E Z CREDIT FORM

Company Name:

Shipping Address:

Mailing Address:

City:

State:

Zip Code:

Phone Number:

Fax Number:

Owner:

Sales Tax #
(Required)

FED I.D. #:
SalesHelper CD-Rom Catalog: Yes No

Email Address:

                                         
Taxable       Non-Taxable    

I certify that the above information is true and correct, and has been furnished for the purpose of inducing Moore-Handley, Inc. to extend credit on my behalf. I agree to comply with the terms and conditions of sale, imposed by Moore-Handley, from time to time, and I acknowledge that the current terms and conditions of sale of Moore-Handley and set forth on the Terms & Conditions document are made a part of this Credit Application. I further agree that (1) Moore-Handley may charge and collect a late fee of 1-1/2% per month on that portion of the account balance that is not paid in accordance with the applicable invoice, and Moore-Handley's then-current bad check charge for each check that is not paid on first presentment for payment by the financial institution on which it is drawn or through which it is payable; (2) Moore-Handley shall be entitled to collect from me all costs of collection, including court costs and attorney's fees in the event of my default; (3) I hereby waive all rights of exemption under the Constitution and laws of the State of Alabama and any other state, as to personal property; and (4) any legal action relating to this agreement or the debt owed hereunder may be brought in any of the courts in Shelby County, Alabama, and any objection to lack of personal jurisdiction, improper venue or insufficiency of process of service is hereby waived.
I authorize Moore-Handley, Inc. to deliver goods or to perform services at my request from time to time, and to charge the same to my account. This authorization shall continue until written notice is given by the undersigned and Moore-Handley shall have had a reasonable opportunity to receive my notice and act on it.

Territory Manager:
Number:

Firm Name:

By:

    Date: