Company Info

Country:

Phone:

Fax

E-mail:

URL:

Owner #1

Owner #2 (if applicable)

Title/Name:

Address:

% Ownership:

Phone:

Trade References

Bank References

Agreement

In consideration for credit being extended, I or we acknowledge and agree to the following:

1. Payment is guaranteed with 14 days.

2. Any charges outstanding after 45 days from date of invoice are subject to collection, and all collection expenses, attorney fees and court costs will be borne by the shipper; plus 1.5% interest monthly not to exceed 18% annually.

3. All claims, requests for adjustments, or notification of errors must be made in writing within 14 days of said shipment, or charges are considered correct and accepted.

4. This agreement shall apply to all current and future shipments unless revocation is received by registered mail.

5. Credit privileges may be withdrawn at any time without invalidating the terms of the agreement, venue is Miami-Dade County, Broward Country or Palm Beach County at sole discretion of OTD, Florida law governs.

By submitting this electronic form I attest to the accuracy of this information. I also attest that I am the person represented by this information and I electronically "sign" this document by checking the "I agree" box below and pressing the "Submit Application" button below.