To
Whom It May Concern:
We would like
to
take this opportunity
to
thank you for your interest
in
the many Lutron Electronics
Co
.,
Inc.
Products
and
your desire
to
establish credit with our company. We look forward
to
establishing a
professional relationship
that
will
be
mutually rewarding.
Please
take the time
to
review
and
complete the attached credit application. We would appreciate you:
1.
Include most recent 2 years
of
financial statements;
2.
Sign
both the credit application
and
personal guaranty sections; and
3. Mail the complete application and financial statements
to
:
Lutron Electronics
Co
., Inc.
Attention: Credit Department
7200 Suter
Road
Coopersburg,
PA
18036
An
important note about sales tax: We are required
to
charge you
and
collect applicable state and local
sales
tax unless you provide
us
with a properly completed and valid
sales
tax exemption certificate.
Guidelines:
An
exemption certificate must
be
provided
for
each
state* products may
be
shipped
to
.
The
exemption certificate should
be
issued
to
Lutron Electronics
Co
.,
Inc.
as
Vendor/Seller.
Please
include your businesses' name
on
the purchaser/buyer field
of
the exemption certificate-
not the name
of
the individual completing the form.
If
you operate under a Doing
Business
As
(DBA),
that
name must
be
listed
on
the same
exemption certificate(s).
All
relevant portions
of
the exemption certificate form must
be
completed, including relevant
license number, exemption number, etc.
The
exemption certificate must
be
signed
and
dated by
an
authorized representative
of
your
business.
Should you have questions on the attached credit application, please feel free
to
contact me
for
any
clarification. Thank you again
for
your interest in Lutron products.
Betsy
Lich
enwalner
Credit
and
Collections Supervisor
Phone: 484-656-9565
*Excludes Alaska, Delaware, Montana, New Hampshire and Oregon, which do not impose
sales
taxes.
Lutron Electronics Co., Inc. - Credit Application, Sales Agreement, Guaranty (North America); revision: 4.1.2010
Page 1
Credit Application, Sales Agreement, Guaranty
Mail to:
Lutron Electronics Co., Inc.
Attn: Credit Department
7200 Suter Road
Coopersburg, PA 18036
(Check one)
New Applicant:
Update :
Applicant (business name or name of individual if sole proprietor):
Name: Phone:
Street Address: Fax:
City: State: Zip: Cell:
Billing Address:
(if different than above)
City: State: Zip: :
Your Company:
Estimated Lutron® monthly purchases:
$
Year Business
Started:
Number of
Employees:
IRS FEIN #/TIN # (required) :
Applicant is a (check one):
Sole Proprietor
Corporation
LLC
Partnership
State organization formed in:
Annual Revenue: $ Business Net Worth: $
Your Principals/Officers/Owners:
Name*
Title
% of Company
Ownership
City/State of Residence
*List any bankruptcy, receivership, or insolvency of any current or past affiliated company of principal/officer/owner :
Your Experience with Lutron® (list all prior affiliations of your management team with authorized Lutron® dealers/distributors):
Individual’s Name
Name of Lutron®
dealer/distributor previously
affiliated with
City/State of prior Lutron®
dealer/distributor affiliation
Title/responsibilities with prior
Lutron® dealer/distributor
Your References:
Dun & Bradstreet (DUNS) number: _________________________
Type
Business Name
Contact Person
Phone
City/State
Account #
Duration of business
relationship (years)
Bank
Trade
Trade
Lutron Electronics Co., Inc. - Credit Application, Sales Agreement, Guaranty (North America); revision: 4.1.2010
Page 2
Applicant Name (required)_______________________________________
This Agreement is between Lutron Electronics Co., Inc. ("Supplier") and the Applicant named above or on page 1 (also referred to as "Customer"). Applicant agrees
that the following terms and conditions will apply to its purchases from Supplier:
PAYMENT: Applicant will pay for material and services purchased from Supplier ("Product") according to Supplier’s payment terms as communicated to Applicant.
Applicant will hold all funds owed to or received by Applicant from any source relating to the Products in trust for the benefit of Supplier, and will promptly pay all such
funds to Supplier. Payments received by Applicant within Supplier’s communicated payment terms will be applied to Applicant’s outstanding invoices as directed by
Applicant while payments received by Supplier outside of its communicated payment terms may be applied to any outstanding invoice of Applicant, at Supplier’s sole
discretion. All past due amounts are subject to a service charge equal to the lesser of 1.5% per month or the maximum rate permitted by law. Any payment by check
to Supplier by Customer that is returned as uncollectible due to insufficient funds or a stop payment being issued is subject to an administrative fee imposed by
Supplier. If Applicant fails to make any payment to Supplier when due, then all amounts owed by Applicant to Supplier will become immediately due and payable and
Supplier may, without notice or demand, suspend delivery of any order from Applicant and repossess and remove any Product held by Applicant, and, in addition to
any other remedy, Applicant agrees to reimburse Supplier for all collection costs, including reasonable attorneys' fees. In jurisdictions where a stated rate is required,
reasonable attorneys' fees will be 15% of the outstanding balance. Supplier will grant a lien waiver only to the extent payment is received, paid by the bank, and not
avoidable as a bankruptcy preference. Applicant agrees that Pennsylvania law governs the interpretation of this Agreement and that Supplier may bring suit
to collect amounts due in, and Applicant hereby consents to the jurisdiction of, Lehigh County, Pennsylvania.
BILLING ERRORS, ADJUSTMENTS, & RETURNS: Customer agrees to make all claims for billing errors, shortages, adjustments, or improper delivery within 30
days from the invoice date, and that all such claims not delivered to Supplier in writing within this time period are waived. Delivery to the job site or Customer’s
requested delivery location constitutes delivery to Customer, regardless of whether Customer or its agent is at such location at time of delivery or signs a delivery
receipt. Delivery dates given by Supplier are estimates. Supplier will not be responsible for failure or delay in delivery. Customer waives any claims for damages
arising from delays in delivery, regardless of the cause. Supplier will accept the return for credit of new and unopened Products ("Returns") subject to its Returned
Goods Policy, which requires a minimum 25% restocking fee, unless otherwise agreed to by Supplier. No other material, including special order items, may be
returned for credit except as specifically agreed in writing by Supplier.
WARRANTY: Customer's sole and exclusive warranty on any Product is the express Limited Warranty provided with such Product. Supplier will provide a copy of
any Product warranty to Applicant upon request. SUPPLIER HEREBY DISCLAIMS ALL OTHER EXPRESSED AND IMPLIED WARRANTIES, INCLUDING
WITHOUT LIMITATION ALL WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND OF WORKMANSHIP. UNDER NO
CIRCUMSTANCE WILL SUPPLIER BE LIABLE FOR INDIRECT, LIQUIDIATED, INCIDENTAL, PUNITIVE, SPECIAL OR CONSEQUENTIAL DAMAGES OF ANY
KIND. SUPPLIER'S LIABILITY, IF ANY, TO CUSTOMER WILL BE LIMITED TO THE NET SALES PRICE RECEIVED BY SUPPLIER.
ENTIRE AGREEMENT: This Agreement, together with Supplier’s Terms and Conditions of Sale (the “Sale Terms”) and the terms and conditions on Supplier's
quotation (with the Sale Terms, the "Terms") which are incorporated into this Agreement by reference, represents the entire agreement, and applies to all
transactions, between the parties. Supplier’s Sale Terms are available on its electronic ordering system (DIMS) or upon written request by Applicant. If the terms of
this Agreement conflict with terms of any other existing or future contract between the parties (including Customer's oral or written offer to purchase), the terms of this
Agreement will prevail unless such other contract specifically references this Agreement and is signed by an authorized officer of Supplier. Customer agrees that (1)
any purchase terms on its documents which conflict with Supplier’s Terms are null, void and unenforceable against Supplier and (2) Supplier’s inclusion of
Customer’s purchase order number on any invoice or confirmation is provided solely for Customer’s convenience.
CERTIFICATION: Appli
cant certifies that: (1) the information provided on page 1 is true and correct and has been submitted as a material inducement to obtain
commercial credit; and (2) the undersigned is authorized to execute applications and other documents required to establish commercial credit accounts on behalf of
Applicant, and, on behalf of Applicant, has read and understands and agrees to all of the terms of this Agreement, including the Terms. Applicant agrees that: (a)
Supplier is authorized to investigate and verify any information provided and inquire of references or others as to ongoing credit worthiness; (b) Supplier's extension
of credit is subject to continuous credit review and approval; (c) this Agreement is not an agreement by Supplier to extend credit and that Supplier may extend or
withdraw credit from time to time; (d) Supplier may answer questions from others about its credit experience with the Applicant; and (e) it will notify Supplier, in writing
via certified mail, of any change in its name, ownership, location or corporate status within five days of such change. If Customer is a partnership or sole
proprietorship, the undersigned authorizes Supplier to obtain and use consumer credit reports on the undersigned to evaluate current and ongoing credit worthiness.
_____________________________________
Authorized Representative (Signature)
________________________________________________________________
Printed Name and Title
______________
Date
PERSONAL GUARANTY: As consideration for Supplier extending credit to Applicant, each individual signing below (each a “Guarantor”), jointly and severally,
personally guarantee the payment of any and all obligations of Applicant to Supplier. Therefore, each Guarantor agrees to pay Supplier on demand, without offset,
any sum due to Supplier by Applicant and further agrees to pay all costs of collection, including reasonable attorney's fees. This Guaranty is a continuing and
irrevocable guaranty and indemnity for indebtedness of Applicant. Guarantor agrees, to the extent permitted by law, to waive the homestead exemption, notice of
acceptance, notice of presentment, demand, non-payment, dishonor and protest, along with the right to require Supplier to proceed against Applicant. Guarantor also
consents to and waives notice of any modification, amendment or extension of the terms of the Agreement or the indebtedness due from Applicant to Supplier.
Guarantor authorizes Supplier to obtain and use consumer credit reports from time to time on Guarantor for the purpose of evaluating current and ongoing credit
worthiness relating to the extension of business credit to Applicant. This Guaranty will not exceed $1,000,000 and will remain in force for 10 years from date of the
last purchase of Product by Customer from Supplier. Guarantor may revoke this Guaranty only by providing Supplier written notice via certified mail of its intent to
revoke, but such revocation will not relieve Guarantor of obligations incurred prior to receipt of such notice subject to the limit set forth above. Subsequent
agreements and credit applications will not alter, supersede or modify this Guaranty. Guarantor agrees that Pennsylvania law governs the interpretation of this
Guaranty and that Supplier may bring suit to collect amounts due in, and Guarantor hereby consents to the jurisdiction of, Lehigh County, Pennsylvania.
_____________________________________________
________________________________________
_________________
Guarantor 1 (signature)
Print Name
Date
_____________________________________________
Guarantor 2 (signature)
________________________________________
Print Name
_________________
Date
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