New Customer Setup Form

New Customer Setup Form2017-05-01T23:17:56+00:00

Contact Info:



Company Information:


Store or Headquarters Address:




Shipping Address: (required if different from above)




Billing Information:


Billing Address: (required if different from above)




Trade References:




Payment Options for Dynamic Wheel Groups Inc.: COD Cashiers Check, VISA, MasterCard, AMEX
Payment with Order - Prepayment is Required with 1st order

All orders will be billed under the following terms unless alternate arrangements are agreed upon with the accounting department.

Payment Information:



Note: Any account not within terms, new orders will not be processed.
Notice to Buyer: DO NOT SIGN THIS APPLICATION BEFORE YOU READ IT

You agree that your business is a valid business entity; that all purchases made on this account will be used for purposes other than personal, family or household use; and that you are an authorized representative of the business with authority to enter into contractual agreements. You certify that all information provided in this application is complete and accurate. On behalf of the business, you agree to be bound by the terms of this Credit Agreement.

Aggreement



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