CHESAPEAKE   PERFORMANCE   INC.

370   CLAIBORNE   FIELDS   DRIVE

CENTREVILLE, MARYLAND   21617

(410) 758-2575   Fax (410) 758-2912

 

           APPLICATION FOR OPEN ACCOUNT

 

Date:   _________________________                       PLEASE  PRINT  CLEARLY

 

Company Name: _______________________________________

 

Company Phone #______________________________Fax#____________________________

 

Print Name of Person completing form: ____________________________________________

 

Type of Organization: _______Corporation _______Partnership _______Proprietorship

 

Federal Tax   ID # ______________________     State Sales Tax ID _____________________

 

Names of Owners/Principals of the Business:

 

Name/Title                                                    

Email Address

Internet address_______________________________________________________________

 

Mailing Address of Business:            ______________________________________________

______________________________________________

______________________________________________

 

Shipping Address of Business:          ______________________________________________

______________________________________________

______________________________________________

 

Trade References: (list at least three)

 

Name/Account #                                Telephone #                            Fax #

 

 

 

 

 

 

 

Banking Information:

 

Name/Branch:            __________________________________________________________

 

Address                       __________________________________________________________

 

Telephone #                __________________________  Fax # _________________________

 

Account Type:            ____________________________

 

Account #:                  ____________________________

 

 

TERMS AND CONDITIONS OF OPEN ACCOUNT

 

 

The normal terms of Chesapeake Performance Inc. are Net 30 days.  In the event your application is not approved before shipment, terms will be COD.

 

I acknowledge and agree that a finance charge of 1-1/2% per month will be charged on all balances remaining unpaid after 30 days from the date accounts are incurred.  This is an annual percentage rate of 18%

 

The undersigned agrees to assume any liability incurred by the above named company and is in agreement that payment will be made strictly according to the terms set forth herein. In the event of default, the guarantor agrees to pay interest as stated herein together with costs of court and reasonable attorney’s fees.  Payments are to be made to Chesapeake   Performance   Inc. according to this agreement.

 

The undersigned agrees to the terms and conditions of an open account with

 Chesapeake   Performance   Inc..

 

Company Representative:                 ______________________________________________

 

Signature & Title:                            ______________________________________________

 

 

Please fax back completed form   to Mike   Schmidt   at   410-758-2912.  If you have any questions regarding the completion of this form, please contact Mike Schmidt   at   410-758-2575   or   by   e-mail   at    mike@cpimetals.com   Thank you.