BUSINESS CONTACT INFORMATION










SHIPPING ADDRESS





BILLING ADDRESS





ACCOUNTING CONTACT



BUSINESS TRADE REFERENCES

Business Reference 1






Business Reference 2






Business Reference 3






TAX AND BILLING INFORMATION (W-9 FORM REQUIRED FOR ALL US VENDORS)


Tax-exempt? YesNo

If "yes", please provide a Tax Exemption Certificate

Federal iD number:

DOES YOUR COMPANY USE PURCHASE ORDERS?


YesNo

AGREEMENT

1. All invoices are to be paid 30 days from the date of the invoice.
2. Claims arising from invoices must be made within seven working days.
3. By submitting this application, you authorize G-Force Jars to make inquiries into the business/trade references that you have supplied.
4. All Run Day Reports are due weekly or upon job completion whichever occurs first.
5. All invoices will originate from G-Force Jars.

ADDITIONAL COMMENTS