ARK Technology, Inc.
12866 #3 Ann Street, Santa Fe Springs, CA 90670
Tel: (562)926-7888, Fax: (562)926-5668
New Account Application

 

 

Company / Corporation Name Business Name Tel:
Fax:
Billing Address

City State Zip
Shipping Address

City State Zip
Business is a __ Corporation __ Partnership __Proprietorship __ Year Established _________State of Inc.__________________
Federal ID# ______________Reseller# ____________________
Are you a __ Subsidiary __ Division (if yes, check which)
Parent Company Name _____________________
Address
Type of Business:
No of Employees:
Annual Sales Volume:
Projected Monthly Purchases:
Do you have any secured debt:
____ Yes ____ No
If yes, please explain:
A/P Contact Do you require a PO# before we accept an order ___Yes ___No

Bank Reference
Name

Contact Name Tel:
Street Address:

City, State, Zip Code
Date Opened
Type of Account: Checking No. Saving No. Loan No.

Credit References (Major Suppliers)
Name

Contact Name Tel:
Fax:
Street Address:

City, State, Zip Code
A/C No.
Credit Term
Name

Contact Name Tel:
Fax:
Street Address:

City, State, Zip Code
A/C No.
Credit Term
Name

Contact Name Tel:
Fax:
Street Address:

City, State, Zip Code
A/C No.
Credit Term

1. This credit application and agreement is submitted by Customer to Ark Technology, Inc (ARK) in order to
obtain trade credit.
2. Customer agrees to make payment in full to ARK for all amounts due according to ARK's invoice on or
before net due date.
3. Customer also agrees to pay interest on all amounts that are past due. Interest will be charged as 1.5%
per month or the highest rate allowed by the law.
4. If Customer should default in any payment, ARK has reserved the right to declare all invoice amounts
due and payable without notice to Customer.
5. Additionally, Customer will be responsible for all collection costs and attorney fees, weather suit is filed or
not, in order to collect any delinquent amount.
6. The undersigned certifies that all of the information contained herein and any attachment is true and correct
to the best of their information, knowledge and belief.
7. Customer agrees to adhere to credit/service policies and procedures established by ARK and published in
ARK's catalog.

_______________________________________________________________________________
Authorized Individual (Print Name) Signature Title Date