CREDIT APPLICATION

I.  COMPANY INFORMATION

COMPANY NAME:
STREET ADDRESS:
CITY: / STATE: / ZIP CODE:
TELEPHONE NO.: / FAX NO.: / E-MAIL:
TYPE OF BUSINESS: / q  WHOLESALE / q  RETAIL / q  OTHERS / NO. OF OUTLETS
ESTIMATED ANNUAL SALES: / YEARS IN BUSINESS:
BUSINESS IS: / q  SOLE PROPRIETORSHIP / q  PARTNERSHIP / q  CORPORATION
NAME OF PRINCIPALS
NAME / TITLE / ADDRESS / SOCIAL SECURITY No.
BANK REFERENCE
BANK NAME: / (3) NAME:
DBA:
Address: / Account#: / Contact:
City: / State: / Zip Code: / Address:
Tel.# / Fax# / City: / State: / Zip Code:
Tel.# / Fax#

TRADE REFERENCES

(1) NAME: / (4) NAME:
DBA: / DBA:
Account#: / Contact: / Account#: / Contact:
Address: / Address:
City: / State: / Zip Code: / City: / State: / Zip Code:
Tel.# / Fax# / Tel.# / Fax#
(2) NAME: / (5) NAME:
DBA: / DBA:
Account#: / Contact: / Account#: / Contact:
Address: / Address:
City: / State: / Zip Code: / City: / State: / Zip Code:
Tel.# / Fax# / Tel.# / Fax#

TERMS and CONDITIONS

Minimum Opening Order is $400.00. Minimum Reorder is $150.00, Under Minimum Charge is $15.00, Drop Ship Charge is $15.00. We accept Credit Cards (VISA, MASTERCARD or AMERICAN EXPRESS), COD or NET30 Terms based on approved credit.

Return Authorization # is required for returns. Refused or returned merchandise are subject to 25% Re-Stocking Fee plus freight. Our liability is limited to the value of the product. ALL prices and terms are subject to change without prior notice.

We certify that above information is true and correct. We authorize The Rug Market and/or those acting on The Rug Market’s behalf to investigate the references/information provided in this application. We agree to pay all costs including attorney and collection fees should we fail to pay within credit terms.

Title / Date
Signature (Authorized Signature Only)

Corporate Headquarters

5370 W. Jefferson Blvd. Los Angeles, CA 90016 * T (323) 930-0202 * F (323) 930-0404 * www. therugmarket.com