Kheops International, Inc.                                       From Shopping Cart

      P.O. Box 177, Colebrook, NH 03576-0177

Tel: 603-237-8188   –   Fax: 603-237-5855

To order: 800-215-8705   –   Fax: (800) 713-0634

www.kheopsinternational.com   –   e-mail: [email protected]
Customer Information

 Store Name:                                                                                                                    Phone:                                                                                                

SHIPPING Add:                                                                                                              Fax:                                                                                                    

City, state, zip:                                                                                                                  E-mail:                                                                                                

Corp. Name:                                                                                                                    At this address since:                                                                          

BILLING Address:                                                                                                          Years in business:                                                                              

City, state, zip:                                                                                                                  FEDERAL ID (EIN)  or Bus. License #:______________________

If you ARE A CORPORATION owning more than one store please attach a list of all your store locations with each phone, fax and resale tax number.

 Business is a □ Proprietorship □ Partnership □ Corporation; State of incorporation________ □ Other ___________________________________

                                                                                  Principal Owners or Stockholders

 1. NAME:                                                                                                                                        Home Phone:                                                                     

Home address:                                                                                                                              Social Security #:                                                                                                                                                                                                                                                                                                                          

2. NAME:                                                                                                                                       Home Phone:                                                                     

Home address:                                                                                                                              Social Security #:                                                                

Banking Reference

Bank Name:                                                                                                                                   Officer:                                                                                

Address:                                                                                                                                         Phone:                                                                               

                                                                                                                                                      Account #:                                                                          

 

BLANKET CERTIFICATE OF RESALE

STATE RESALE TAX CERTIFICATE #: _______________________________________________

I, undersigned, certify that all material, merchandise, or goods purchased by the store identified above from Kheops International, Inc., after              (date)________________________ is purchased for the following purpose:        □ Resale as tangible personal property;          or □ To be exported for sale, use, or consumption outside the continental limits of the United States;          or □ Other ____________________________________________

This certificate shall be considered a part of each order, which we shall hereinafter place provided such order contains our certificate number.   This is to continue in force until revoked in writing.

I hereby agree with Kheops International, Inc. terms and conditions and authorize our bank(s) to release any information necessary to assist in establishing my credit with them.  Terms are Credit card, COD check, and/or Net 30 days unless otherwise stated.  Accounts are considered past due if unpaid within thirty days of invoice date, and will be subject to a 1.5% per month finance charge.  Any account 90 days past due will be sent to collection.

The Company named herein and the personal guarantor will be held liable for full payment of any unpaid balance of this account. Company and personal guarantor further agree to pay $25.00 fee for each check returned NSF, and any reasonable fees (min. $25.00) related to collection for overdue or unpaid accounts, including attorney’s fees, fees to collection agencies, and court expenses related to this account. Purchasing company also agrees to submit to a court of competent jurisdiction in State of New Hampshire for all purposes of collection. I, the undersigned, agree to act as personal guarantor for full payment of any unpaid balance of this account.

Guarantor: ____________________________________________________                     _____________________________________________

                                                          Print name                                                                                                                    Owner or Officer Title

 

Signature X                                                              ______________________                         Date:                                                                            Rev. 04/

After second order, Net-30 terms can be granted to businesses in USA with approval credit reference (allow 2 weeks for approval)

                                                                               Application for Credit                            From Shopping Cart

ONLY FOR NET-30   please fill out the following, or provide your own Credit Sheet 

 Your Business Name:______________________________________________________Tel.:______________________________

Complete address:                                                                                                                                                                                                            

 Suppliers

With whom you have credit terms (Important to give 5 references with your Account and fax numbers)

Name:                                                                                                                                              Phone:                                                                            

Address:                                                                                                                                          Fax:                                                                                

                                                                                                                                                        Account #:                                                                      

 

Name:                                                                                                                                              Phone:                                                                            

Address:                                                                                                                                          Fax:                                                                                

                                                                                                                                                        Account #:                                                                      

 

Name:                                                                                                                                              Phone:                                                                            

Address:                                                                                                                                          Fax:                                                                                

                                                                                                                                                        Account #:                                                                      

 

Name:                                                                                                                                              Phone:                                                                            

Address:                                                                                                                                          Fax:                                                                                

                                                                                                                                                        Account #:                                                                      

 

Name:                                                                                                                                              Phone:                                                                            

Address:                                                                                                                                          Fax:                                                                                

                                                                                                                                                        Account #:                                                                      

Banking Reference

Bank Name:                                                                                                                                   Phone:                                                                                

Address:                                                                                                                                        Fax:                                                                                    

                                                                                    Officer:                                                         Account #:                                                                          

Principal Owner or Stockholder

NAME:                                                                                                                                             HOME PHONE: ___________________________

Home address:________________________________________________       Social Security #: _________________________

    Terms and Conditions

ORDER MINIMUMS:   Initial:  $125.00  -  Re-Orders:  $75.00

DELIVERY:    Allow 1 to 3 weeks.

SHIPPING:    Shipping, handling and COD charges are additional.

TERMS:    First two orders will be COD or charge:  Visa, Master Card, American Express, and Discover. 

OUT OF CONTINENTAL USA, terms of payment are credit card only.

NET 30 DAYS credit terms are available if credit is approved (allow 2 weeks for approval – after second order).  Due date is 30 days after invoice date. Invoices unpaid past 45 days are subject to interest charges of 1.5% per month (18% annually). 

NSF CHECKS:    $25 fees per return.

FEES:    Customer is liable for any bank, attorney, or collection fees pertaining to NSF checks or overdue accounts. 

OUT OF STOCK:    Check for procedure mentioned on last page of your invoice.

CUSTOMER INFORMATION:  Every customer is required to have an updated, signed “Customer Information” form & resale tax number on file.

CANCELLED or REFUSED orders:    Subject to administration and restocking fees of 25%, plus shipping fees on returned orders.

RETURNS:    accepted only with Customer Service authorization.

DAMAGE:    Retain merchandise and packaging for inspection and/or return.  Call Customer Service within 10 days of receipt for credit or replacement and disposition instructions.

 

KHEOPS INTERNATIONAL, Inc.,    P.O. Box 177, Colebrook, NH 03576-0177

      Phone: 603-237-8188   Fax: 603-237-5855   -   E-mail: [email protected]