ECD Home of the M.O.L.E.®, MOLE, Thermal Profiler: Online Credit Application


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ECD Online Credit Application

Please fill out the form below and ensure that the information is correct. All information is held strictly confidential. Please note that this page is not encrypted. If you prefer, you may supply the information using the alternative methods listed:

Print this application and fax the information to CREDIT at 503-659-4422

Note: (*) denotes required field.

Company:

Street:

City, State, Zip:

Phone:

Fax:

E-mail:

Corporate Officers, Partners, or Owners:

Name/Title:

Type of Business:

Date Business Started:

D & B #:

Federal ID#:

Resale #:

Number of Employees:

Annual Dollar Volume Sales:

A/P Contact Name:

Banking Information:

Bank Name:

Account #:

Phone:

Fax:

Address:

Amount of Credit Desired:

U.S. Trade References (minimum of four required):

Reference Name 1:

Phone/Fax:

Street:

City, State, Zip:

Reference Name 2:

Phone/Fax:

Street:

City, State, Zip:

Reference Name 3:

Phone/Fax:

Street:

City, State, Zip:

Reference Name 4:

Phone/Fax:

Street:

City, State, Zip:

This information is warranted to be true and is given for the purpose of obtaining credit from Electronic Controls Design, Inc. I/We agree to pay all bills per agreed terms. Upon approval of credit, Electronic Controls Design, Inc. terms are 1-1/2% 10 days net 30 from date of invoice, and are considered past due thereafter. Should legal action be instituted to enforce payment of any outstanding balance I/We agree to pay all costs of suit and reasonable attorney's fee. This application and agreement, and all transactions pursuant hereto, are and shall be governed by the Internal Laws of the State of Oregon. The additional terms and conditions below are agreed to and are made a part of this application.

By checking this box, I am providing the same assurances as I would by signing a paper document.

Name:

Title:

(Officer or Owner Only)

Terms and Conditions:

The acceptance of any order and terms of payment on all sales and orders are subject to the approval of the credit department of the seller.
All goods claimed to be defective shall be held subject to inspection by the seller and/or manufacturer's agent. Claims for shortage or deduction for erroneous charges must be presented within 10 days after receipt of the goods or they will not be allowed. No goods will be taken back and credited or replaced unless arrangements for such return have been made and approved in advance by seller. If goods appear defective their use should be discontinued and the seller notified promptly.
Late Payment: If payment if received by Electronic Controls Design, Inc. after the due date herein stated, a late charge at the rate of one and one-half (1 1/2%) per month (18% per annum) of the overdue amount, computed from the due date of payment shall be paid by customer to Electronic Controls Design, Inc. upon demand.
Collection Costs: If payment is not made according to the terms and conditions hereof, customer agrees to pay on demand all costs of collection fees, reasonable attorney's fees and court costs, whether or not action if commenced or whether or not said action proceeds to judgment.
General: This agreement is entered into in the State of Oregon. This agreement is governed by the laws of the State of Oregon. Should any legal action be brought to enforce the terms of the agreement, customer agrees that jurisdiction shall be with the appropriate court in the State of Oregon, County of Clackamas.