NEW ACCOUNT APPLICATION

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    Customer Account Application - Gulf Tire Distributors

    NEW ACCOUNT APPLICATION

    Must Attach a:

    Copy of Business License

    Copy of Sales & Use Tax certificate

    Govt. Issued ID

    Form of Business (Check one Box):

    Name of Owner:

    Legal Business Name:

    Doing Business as (DBA):

    EIN #

    RESALE TAX #

    Date

    Location Address:

    City:

    State:

    Zip:

    Office Phone:

    Cell Phone:

    Fax:

    Online Inventory, Email:

    Password:

    Return Check Policy

    Signature authorizes the release of Bank and/or Financial Institution information to Gulf Tire Distributor, I agree to pay all reasonable Fees and/or collection costs incurred by Gulf Tire Distributors, in the collection of all returned Items. Each returned Item will be assessed a $50.00 returned Item Charge.

    Credit Card Accounts: (All credit card transactions are subject to a 4% Service Fee)

    All Parts and Tires are the property of Gulf Tire Distributors until all amounts due is paid in full. GULF TIRE DISTRIBUTORS reserve to recover any unpaid merchandise.

    Signature:

    Title:

    Date:

    CONTINUING PERSONAL GUARANTEE

    In consideration of the acceptance of payment in check or account (negotiable instrument) form by Gulf Tire Distributors, from Hereinafter referred to as "Debtor", the undersigned jointly and severally bind and obligate ourselves for the Payment in full on any and all indebtedness governed by the laws of the State of Georgia.

    MUST BE SIGNED BY OWNERS, PARTNERS, AND PRINCIPAL OFFICER OR DESIGNATED SIGNEE.

    Print Name:

    Phone:

    Title:

    Address:

    City:

    State:

    Zip:

    Driver's License # & State:

    D.O.B:

    Guarantor Signature:

    Date:

      Customer Account Application - Gulf Tire Distributors

      NEW ACCOUNT APPLICATION

      Must Attach a:

      Copy of Business License

      Copy of Sales & Use Tax certificate

      Govt. Issued ID

      Form of Business (Check one Box):

      Name of Owner:

      Legal Business Name:

      Doing Business as (DBA):

      EIN #

      RESALE TAX #

      Date

      Location Address:

      City:

      State:

      Zip:

      Office Phone:

      Cell Phone:

      Fax:

      Online Inventory, Email:

      Password:

      Return Check Policy

      Signature authorizes the release of Bank and/or Financial Institution information to Gulf Tire Distributor, I agree to pay all reasonable Fees and/or collection costs incurred by Gulf Tire Distributors, in the collection of all returned Items. Each returned Item will be assessed a $50.00 returned Item Charge.

      Credit Card Accounts: (All credit card transactions are subject to a 4% Service Fee)

      All Parts and Tires are the property of Gulf Tire Distributors until all amounts due is paid in full. GULF TIRE DISTRIBUTORS reserve to recover any unpaid merchandise.

      Signature:

      Title:

      Date:

      CONTINUING PERSONAL GUARANTEE

      In consideration of the acceptance of payment in check or account (negotiable instrument) form by Gulf Tire Distributors, from Hereinafter referred to as "Debtor", the undersigned jointly and severally bind and obligate ourselves for the Payment in full on any and all indebtedness governed by the laws of the State of Georgia.

      MUST BE SIGNED BY OWNERS, PARTNERS, AND PRINCIPAL OFFICER OR DESIGNATED SIGNEE.

      Print Name:

      Phone:

      Title:

      Address:

      City:

      State:

      Zip:

      Driver's License # & State:

      D.O.B:

      Guarantor Signature:

      Date:

        Customer Account Application - Gulf Tire Distributors

        NEW ACCOUNT APPLICATION

        Must Attach a:

        Copy of Business License

        Copy of Sales & Use Tax certificate

        Govt. Issued ID

        Form of Business (Check one Box):

        Name of Owner:

        Legal Business Name:

        Doing Business as (DBA):

        EIN #

        RESALE TAX #

        Date

        Location Address:

        City:

        State:

        Zip:

        Office Phone:

        Cell Phone:

        Fax:

        Online Inventory, Email:

        Password:

        Return Check Policy

        Signature authorizes the release of Bank and/or Financial Institution information to Gulf Tire Distributor, I agree to pay all reasonable Fees and/or collection costs incurred by Gulf Tire Distributors, in the collection of all returned Items. Each returned Item will be assessed a $50.00 returned Item Charge.

        Credit Card Accounts: (All credit card transactions are subject to a 4% Service Fee)

        All Parts and Tires are the property of Gulf Tire Distributors until all amounts due is paid in full. GULF TIRE DISTRIBUTORS reserve to recover any unpaid merchandise.

        Signature:

        Title:

        Date:

        CONTINUING PERSONAL GUARANTEE

        In consideration of the acceptance of payment in check or account (negotiable instrument) form by Gulf Tire Distributors, from Hereinafter referred to as "Debtor", the undersigned jointly and severally bind and obligate ourselves for the Payment in full on any and all indebtedness governed by the laws of the State of Georgia.

        MUST BE SIGNED BY OWNERS, PARTNERS, AND PRINCIPAL OFFICER OR DESIGNATED SIGNEE.

        Print Name:

        Phone:

        Title:

        Address:

        City:

        State:

        Zip:

        Driver's License # & State:

        D.O.B:

        Guarantor Signature:

        Date:

          Customer Account Application - Gulf Tire Distributors

          NEW ACCOUNT APPLICATION

          Must Attach a:

          Copy of Business License

          Copy of Sales & Use Tax certificate

          Govt. Issued ID

          Form of Business (Check one Box):

          Name of Owner:

          Legal Business Name:

          Doing Business as (DBA):

          EIN #

          RESALE TAX #

          Date

          Location Address:

          City:

          State:

          Zip:

          Office Phone:

          Cell Phone:

          Fax:

          Online Inventory, Email:

          Password:

          Return Check Policy

          Signature authorizes the release of Bank and/or Financial Institution information to Gulf Tire Distributor, I agree to pay all reasonable Fees and/or collection costs incurred by Gulf Tire Distributors, in the collection of all returned Items. Each returned Item will be assessed a $50.00 returned Item Charge.

          Credit Card Accounts: (All credit card transactions are subject to a 4% Service Fee)

          All Parts and Tires are the property of Gulf Tire Distributors until all amounts due is paid in full. GULF TIRE DISTRIBUTORS reserve to recover any unpaid merchandise.

          Signature:

          Title:

          Date:

          CONTINUING PERSONAL GUARANTEE

          In consideration of the acceptance of payment in check or account (negotiable instrument) form by Gulf Tire Distributors, from Hereinafter referred to as "Debtor", the undersigned jointly and severally bind and obligate ourselves for the Payment in full on any and all indebtedness governed by the laws of the State of Georgia.

          MUST BE SIGNED BY OWNERS, PARTNERS, AND PRINCIPAL OFFICER OR DESIGNATED SIGNEE.

          Print Name:

          Phone:

          Title:

          Address:

          City:

          State:

          Zip:

          Driver's License # & State:

          D.O.B:

          Guarantor Signature:

          Date:

            Customer Account Application - Gulf Tire Distributors

            NEW ACCOUNT APPLICATION

            Must Attach a:

            Copy of Business License

            Copy of Sales & Use Tax certificate

            Govt. Issued ID

            Form of Business (Check one Box):

            Name of Owner:

            Legal Business Name:

            Doing Business as (DBA):

            EIN #

            RESALE TAX #

            Date

            Location Address:

            City:

            State:

            Zip:

            Office Phone:

            Cell Phone:

            Fax:

            Online Inventory, Email:

            Password:

            Return Check Policy

            Signature authorizes the release of Bank and/or Financial Institution information to Gulf Tire Distributor, I agree to pay all reasonable Fees and/or collection costs incurred by Gulf Tire Distributors, in the collection of all returned Items. Each returned Item will be assessed a $50.00 returned Item Charge.

            Credit Card Accounts: (All credit card transactions are subject to a 4% Service Fee)

            All Parts and Tires are the property of Gulf Tire Distributors until all amounts due is paid in full. GULF TIRE DISTRIBUTORS reserve to recover any unpaid merchandise.

            Signature:

            Title:

            Date:

            CONTINUING PERSONAL GUARANTEE

            In consideration of the acceptance of payment in check or account (negotiable instrument) form by Gulf Tire Distributors, from Hereinafter referred to as "Debtor", the undersigned jointly and severally bind and obligate ourselves for the Payment in full on any and all indebtedness governed by the laws of the State of Georgia.

            MUST BE SIGNED BY OWNERS, PARTNERS, AND PRINCIPAL OFFICER OR DESIGNATED SIGNEE.

            Print Name:

            Phone:

            Title:

            Address:

            City:

            State:

            Zip:

            Driver's License # & State:

            D.O.B:

            Guarantor Signature:

            Date:

              Customer Account Application - Gulf Tire Distributors

              NEW ACCOUNT APPLICATION

              Must Attach a:

              Copy of Business License

              Copy of Sales & Use Tax certificate

              Govt. Issued ID

              Form of Business (Check one Box):

              Name of Owner:

              Legal Business Name:

              Doing Business as (DBA):

              EIN #

              RESALE TAX #

              Date

              Location Address:

              City:

              State:

              Zip:

              Office Phone:

              Cell Phone:

              Fax:

              Online Inventory, Email:

              Password:

              Return Check Policy

              Signature authorizes the release of Bank and/or Financial Institution information to Gulf Tire Distributor, I agree to pay all reasonable Fees and/or collection costs incurred by Gulf Tire Distributors, in the collection of all returned Items. Each returned Item will be assessed a $50.00 returned Item Charge.

              Credit Card Accounts: (All credit card transactions are subject to a 4% Service Fee)

              All Parts and Tires are the property of Gulf Tire Distributors until all amounts due is paid in full. GULF TIRE DISTRIBUTORS reserve to recover any unpaid merchandise.

              Signature:

              Title:

              Date:

              CONTINUING PERSONAL GUARANTEE

              In consideration of the acceptance of payment in check or account (negotiable instrument) form by Gulf Tire Distributors, from Hereinafter referred to as "Debtor", the undersigned jointly and severally bind and obligate ourselves for the Payment in full on any and all indebtedness governed by the laws of the State of Georgia.

              MUST BE SIGNED BY OWNERS, PARTNERS, AND PRINCIPAL OFFICER OR DESIGNATED SIGNEE.

              Print Name:

              Phone:

              Title:

              Address:

              City:

              State:

              Zip:

              Driver's License # & State:

              D.O.B:

              Guarantor Signature:

              Date: