User Registration

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Techniweld Contact/Sales Rep

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Credit Application

Requested Limit

Company Name (required)

Buying Group Affiliation

Phone (required)

Fax

Billing Address (required)

City/St/Zip (required)

Shipping Address (if different)

A/P E-Mail (required)

A/P Fax

Contact (required)

Website

Date Established

Type of Business (required)

Est. Annual Sales (required)

Sales Territory

Resale only?

Resale Exempt Number (required)

Please email your Resale Certificate to credit@twusa.com

Company President

Structure Corp LLC LLP Other

Credit References

Bank Information

Bank

Account Number

Address

City/State

Credit Line

Phone

Fax

I give Authorization for the above-referenced bank to disclose information for purpose of credit evaluation

Terms

TERMS ARE NET 30

A secured interest is hereby granted to TECHNIWELD by the undersigned in all product purchases made on this account and the proceeds of resale by the undersigned of all such products. It is agreed, and permission is hereby granted to TECHNIWELD to file a financing statement. In the event the account is referred for collection we will pay the cost of collection, including court cost & reasonable attorney fees. Past due accounts shall accrue interest at the rate of 1.5% per month. It is certified that all purchases made on this account are for resale only.

I agree to abide by the terms stated above.

Credit Application International Customers

Requested Limit

Company Name (required)

Buying Group Affiliation

Phone (required)

Fax

Billing Address (required)

City/State (required)

Country (required)

Shipping Address (if different)

A/P E-Mail (required)

A/P Fax

Contact (required)

Website

Date Established

Type of Business (required)

Est. Annual Sales (required)

Sales Territory

Resale only?

Resale Exempt Number (required)

Please email your Resale Certificate to credit@twusa.com

Company President

Structure Corp LLC LLP Other

Credit References

Bank Information

Bank

Account Number

Address

City/State

Credit Line

Phone

Fax

I give Authorization for the above-referenced bank to disclose information for purpose of credit evaluation

Terms

TERMS ARE NET 60

A secured interest is hereby granted to TECHNIWELD by the undersigned in all product purchases made on this account and the proceeds of resale by the undersigned of all such products. It is agreed, and permission is hereby granted to TECHNIWELD to file a financing statement. In the event the account is referred for collection we will pay the cost of collection, including court cost and reasonable attorney fees. Past due accounts shall accrue interest at the rate of 1.5% per month. It is certified that all purchases made on this account are for resale only.

I agree to abide by the terms stated above.

By registering, I agree to all the terms of use of twusa.com.