Dealer Registration | Aline International

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Dealer Registration

Contact Information

To ensure prompt handling of you application, please provide all information requested below

Company Name

EIN

Phone Number

Alternate Phone Number

Password

Password Strength: No Password

Confirm Password

Fax

Sales Representative

Note: If you don't have a sales rep please enter N/A

Preferred Location

Business Information

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

Shipping Information

My billing and shipping address are the same.

First Name

Last Name

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Account Information

Exempt Taxable

Notes

In making this application and for and in consideration of any credit extended as a result of this application, the applicant and the undersigned, individually and collectively guaranty payment of all amounts which become due to Aline and promise to pay all costs of collection, including reasonable attorney fees incurred by Aline International LLC in collecting any money owed on any credit account maintained by any of the people or entities named in this application. If any account is established as a result of this application and is not paid when due the account shall bear interest at 1 ½% per month, 18% per annum. All payments for goods and merchandise purchased from Aline International LLC are due and payable at the offices of Aline International LLC. All merchandise purchased from Aline International LLC shall remain the property Aline International LLC until fully paid for.

The terms are understood and will be complied with. The information herein is to be considered accurate to the best of my knowledge.

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Dealer Registration | Aline International

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