Credit Application

APPLICATION FOR CREDIT ACCOUNT

BLACK WOOD USA, INC. 429 Shields Road Huntsville, Alabama 35811 Phone: 256-337-5664 Fax: 256-859-0110 blackwoodcharcoalusa@gmail.com
  • BUSINESS STRUCTURE INFORMATION

    Please specify:
  • ACCOUNTS PAYABLE CONTACT

  • SALES TAX INFORMATION

  • FINANCIAL HISTORY

  • BANKING REFERENCE

    (LAST TWELVE MONTHS)
  • BANKING REFERENCE

    (LAST FIVE YEARS: INDICATE “SAME” IF SAME AS ABOVE)
  • TRADE REFERENCE

  • PLEASE NOTE

  • ALL ACCOUNTS PAST DUE BY MORE THAN THIRTY (30) DAYS AFTER INITIAL BILLING DATE ARE SUBJECT TO A CARRYING CHARGE OF 1.5%PER MONTH ON THE UNPAID BALANCE UNTIL THE ACCOUNT IS PAID IN FULL.  ALL LATE PAYMENTS ARE APPLIED FIRST TO ACCRUED INTEREST AND THEREAFTER TO PRINCIPLE BALANCES OWED.  IN THE EVENT COLLECTION ACTIVITIES OR OTHER SUCH PROCEEDINGS ARE INITIATED TO COLLECT ANY UNPAID BALANCE, REASONABLE ATTORNEYS FEES AND COSTS OF COURT WILL BE ADDED TO THE ACCOUNT BALANCE AND ARE PAYABLE BY THE CUSTOMER.  ACCEPTANCE OF OUR GOODS AND/OR SERVICES CONSTITUTES ACCEPTANCE OF THESE TERMS.  VENUE FOR DISPUTES AND/OR COLLECTION LIES WITHIN THE STATE OF ALABAMA.  THANK YOU GENUINELY FOR YOUR BUSINESS.
  • ENTERING NAME BELOW AUTHORIZES BLACK WOOD USA, INC. TO MAKE ANY AND ALL INQUIRIES ABOUT THIS CUSTOMER’S CREDIT HISTORY WITH ANY AND ALL CREDIT REPORTING COMPANIES AND/OR REFERENCES.
  • PERSONAL GUARANTEE AND ACKNOWLEDGMENT

    By entering name below you agree to the following:
  • I,individually and as the owner and/or authorized officer of the customer making this APPLICATION FOR CREDIT ACCOUNT with BLACK WOOD USA, INC., personally warrant and guarantee payment of any and all proper and correct invoices, statements, and/or other billings from BLACK WOOD USA, INC., and that payment in full, plus accrued interest, shall be made by me upon any and all such invoices, statements, and/or other billings in the event that the customer from whom this APPLICATION FOR CREDIT ACCOUNT is submitted fails to pay the same for a period of in excess of ninety (90) days after initial billing. It is acknowledged that this guarantee is given as a continuing and irrevocable obligation, indemnity, and promise to pay in full, plus accrued interest, all invoices, statements, and/or other billings from BLACK WOOD USA, INC. which are not properly and timely paid by the customer, as stated above. I do hereby acknowledge and confirm that I have personally reviewed all of the information supplied within the foregoing APPLICATION FOR CREDIT ACCOUNT; that all of it is true and correct as of the date of its submittal within this document; and that no misrepresentation of any sort pertinent to the customer’s financial status has been made. I do further acknowledge that all orders made by this customer for any and all products sold or otherwise conveyed by BLACK WOOD USA, INC. originate within the State of Alabama, regardless of where the orders may in fact be filled. I likewise acknowledge that venue for collection of any and all accounts due from this customer, and/or from me as a result of this PERSONAL GUARANTEE AND ACKNOWLEDGMENT, shall lie within the State of Alabama, and I do hereby confer, submit, and acknowledge personal jurisdiction of this customer and myself to any properly convened court within that State. All goods sold by BLACK WOOD USA, INC. remain the property of BLACK WOOD, USA, INC. until the customer pays for the entire purchase price of such goods, plus any applicable taxes, shipping costs, and/or other similar or dissimilar sums, if any. BLACK WOOD USA, INC. specifically retains the right, at its option, either to file suit for collection of or to otherwise collect any unpaid accounts and/or to recover products sold but not paid for by the customer.
  • Entering your name serves as a signature for this form
  • NOTE:  THE FOREGOING STATEMENT AND THE INTEREST ADVISORY SET FORTH ON THE PRECEDING PAGE ARE BOTH PRINTED IN RED INK ON THE ORIGINAL TEMPLATE OF THIS APPLICATION FOR CREDIT ACCOUNT.  IF YOUR DEVICE DOES NOT PRINT IN COLOR OR IF YOU OTHERWISE ARE UNABLE TO READ THIS ACKNOWLEDGMENT, PLEASE CONTACT US FOR ANOTHER COPY PRIOR TO YOUR SIGNATURE BEING GIVEN BELOW.
  • Thank you for your interest in our BLACK WOOD USA, INC. products.

    “BLACK WOOD” and “BLACK WOOD USA” are trade names and/or service names utilized in domestic and international business by BLACK WOOD USA, INC., an Alabama domestic corporation.

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