Credit Application Form Customer Credit Application Step 1 of 3 33% Classification Automotive Food & Beverage Furniture Health & Personal Care Household Consumable Industrial Manufacturing Legal Name Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneFAX No.Provisional Sales TAX No. Bank How long in Business Monthly Amount of Credit required Company Parent or Owner Name of Accounts Payable Contact Trade ReferencesName #1 Phone No #1 Email #1 Name #2 Phone No #2 Email #2 Name #3 Phone No #3 Email #3 Customer Receiving RequirementsShipping Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Receiver's Name Receiver's PhoneReceiving Hours How many shifts? Ability to receive after hours Yes No Contact Name Contact PhoneReceiving Preferences* No call required Call before delivery Call for appointment Notify by email (in advance) Notification of delivery (please select one)Email Delivery Method Tractor trailer accessible Hand bombing required Pump truck needed 5 Ton truck only Truck AccessabilityPallet Requirements* No pallet, unitize only Standard 48x40 (2 Way Recycled) Standard 48x40 (4 Way Recycled) CHEP pallets Customer-supplied pallets Corrugated 48x40, 2 way (Speciality non-wood product made of corrugate, not rackable) Special pallet requirements Special pallet requirements Unit RequirementsMaximum acceptable height for 1 single unit including skid: _____ inches Units will be doublestacked unless otherwise noted Select Stacking Method from the Diagram above 1.) 2.) 3.) Special Requirements(Please advise your account rep of any changes or additional locations.) TERMS OF PAYMENT: NET 30 DAYS Failure make payment in of the balance due within 60 days from the invoice date may result in the seller suspending the further manufacture delivery or shipment of all or any part of goods till payment is received. A credit charge of 2% per month (24% per year) compounded monthly shall be payable on unpaid balance 60 days after date of invoice(s). I/we certify that the information supplied is true and if this application is accepted, I/we agree to abide by the terms above. I/we consent to Moore Packaging Corporation and/or its assignee obtaining such information as may be required at any time in connection with the credit hereby applied for any renewal or extension thereof and to the disclosure of any credit reporting agency or o any person or firm with whom have or propose to have financial relations.SELLERS CONDITION 1. CONTINGENCIES: Seller shall not be liable for failure to supply goods in consequence of labour, procurement or distribution difficulties, acts of God, Fofiuitous events or other causes of a like or unlike nature reasonably beyond its control, during the period of and to the extent of such disability. Deliveries omitted during such period may be eliminated from this contract atseller’s option without liability on its part. 2. TITLE: Title in goods and risk of their loss shall pass to buyer upon their delivery to truck, trailer or other means oftransportation at seller’s plant. 3. SHIPMENTS: Shipments shall be routed by seller. Shipping dates are given in good faith, but are not guaranteed, and buyershall have no claim for damages resulting from delay, 4. PAYMENT: Unless otherwise noted, invoices shall be paid in full within 30 days following date ol shipment. Seller neverthelessreserves the right at any time to require security satisfactory to seller for the performance of buyers’s obligations, to suspend the manutacture, delivery or shipment ol all or any of the goods until such security is given, and to require payment againstdelivery. 5. CLAIMS AND WARRANTIES: Claims shall be restricted to the price of detective goods as shown on seller’s invoice, calculatedpro rata where invoice includes other goods. No claims shall be valid or enforceable unless it is made in writing within 10 daysafter receipt of goods at destination. Warranty as to suitability of goods for any particular purpose or conditions is expresslyexcluded. Buyer shall have no claim for consequential damages. 6. MARKING: Seller reserves the right to affix its imprint to all goods unless the buyer specifies to the contrary. 7. ERR0RS AND 0MlSSl0NS: All quotations, acknowledgements and invoices are subject to correction for any errors andomissions. 8. AMENDMENTS: These terms and conditions shall not be amended or altered except by writing signed by one of the seller’s executive ollicers. 9. C0NFLICT: lf any of the terms of buyer’s offer to purchase as set out in its purchase order are in conflict with these Terms andConditions, the latter shall govern unless buyer’s terms are expressly accepted in writing by seller. Buyer’s purchase ordershall constitute an acceptance of these Terms and Conditions. 10. GOVERNING LAW: The laws of the province in which title in goods passes to the buyer shall govern. 11. CANCELLATI0N: 0rders in process of manufacture are not subject to cancellation changes or specification changesAcknowledge* I have read and acknowledge the Terms of Payment and Sellers Conditions CAPTCHA
