NEW CLIENT
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Is Purchase Order Number Required? Yes No
If yes, please provide PO# with sample submittal .
     
Credit Card Information (if authorizing charges)
     
Card Number:
Expiration Date:
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Name on Card:

   
Please provide Credit Card information with sample submittal – not accepted 30 days after invoice date.
     
Payment Terms    
     
  • All new clients, without established accounts, are required to submit payment in full with first set of samples.
  • Payment terms are net thirty (30) days with 1.5% assessed monthly to overdue accounts.
  • Other payment terms require written pre-approval from EnviroChem’s Accounts Receivable Department.
  • All discounts/contract pricing is predicated on receipt of payment within thirty (30) days of date of invoice.
  • In the event that collection becomes necessary, client agrees to pay the reasonable costs of collection including reasonable attorney’s fees and interest.
     
Client Accounts Payable Representative
     
I approve of Net 30 day payment terms
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Client Project Contact    
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