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DEALER CREDIT APPLICATION (continued)
Bank name and branch Telephone. Bank manager Account number (s)
****** The following section must be completed *****
Based on Amylior product interest selected on page 1, what manufacturers are you currently purchasing from, and why?
What percentage of your business is dedicated to these products?
Average monthly sales: $ Estimated yearly sales: $
Estimated monthly orders from AMYLIOR Number of units:
Dealership overview information:
Estimated average monthly purchases from AMYLIOR over the next 12 months: $
If credit requirements are expected to exceed $50,000, please submit a copy of your last annual financial statement or your
most recent tax return.
Applicant’s name: Application date:
TERMS & CONDITIONS
ONDITIONS UNDER WHICH CREDIT ACCOUNT I
1. Dealer shall conduct business with AMYLIOR as well as its customers in a fair and ethical manner.
2. Dealer agrees to provide support for AMYLIOR products in pre-sales promotions, direct customer support and after sale
follow-up service when necessary. This includes product warranty service.
3. Dealer is required to keep his account in good standing within the terms agreed upon
um annual purchases of 10,000 $ dealer net are required to retain dealer credit account status.
5. Dealer must comply with all rules and regulations set forth by AMYLIOR, in any documents governing AMYLIOR’S busine
ditions subject to change at AMYLIOR discretion with written notice.
BY SIGNING THIS APPLICATION FOR CREDIT, DEALER UNDERSTANDS AND AGREES TO THE FOLLOWING:
If an open line of credit is approved, Dealer understands that Dealer will be assigned trade credit terms. Dealer agrees to
pay account within these term
er understands that AMYLIOR reserves the right to hold orders prior to release for production as well as any pendin
pments, if invoices are not paid within terms.
Dealer understands that AMYLIOR has the right to discontinue secondary discounts allowed (if any), if credit terms and/or
minimum order requirements are not me
Dealer signature: Date:
Print name: Title:
FOR INTERNAL USE ONLY
Credit department approval:
Account number: Date:
Approved discount: Approved terms:
Sales approval for discount and terms: Date:
MK - TMK190530-1 June 2019 (Rev01)