GPR / VMC Credit Card Authorization Form

Transcription

1 GPR / VMC Credit Card Authorization Form I,, authorize RS Norman Mfg/GPR Stabilizer to charge my business and/or personal credit card for any and all purchases Signature Date One Time Purchase Please Put This Card On File for All Future Purchases (Check One) Card Type / (Circle One) Expiration Date (mm/yy) Card Number Cardholder Name Business Name Credit Card Billing Address Phone Number City State Zip Fax Number

2 DEALER APPLICATION Thank you for inquiring about GPR Stabilizer and Valter Moto Components. To process your order, please fill out ALL of the enclosed dealer application & related documentation. The undersigned furnishes the following as being a true and correct Statement of Personal and Financial Information. Please fill in ALL fields/pages so we can process your application immediately. If you leave some fields/pages blank, your application will NOT be approved. Fax everything back to us and we'll get your account & order processed asap. We will need the original documents snail mailed back to us WITH your signature on them, along with a copy of your resale cert Store Info Store Name: DBA: Bill To Address: City: Phone 1: State: Website: Zip: Phone 2: Fax: # of Stores: Ship To Address: (For multiple locations, attach a separate sheet with all the info above for each location. Please read our terms & conditions statement for multiple locations. If Bill To & Ship To are the same, just write "Same" on the 'Ship To' address field and skip the city, state & zip info below) City: State: Zip: Business Class (please check one): EIN #: Partnership Corp Sole Proprietor Business Type (please check one): Retailer Distributor Internet Business Start Date: Yrs at Present Address: Incorporation Date: Accts Payable Contact: Sales and/or Tax Exempt:? (If yes, please fill out the attached resale certificate. Accts and orders will NOT be Yes No processed until we have a signed resale certificate on file for your business) Contact Info Owner(s)/Principal(s): 1 Authorized Buyer(s): Shipping Instructions: (All orders shipped UPS Ground unless specific instructions are listed above or with individual orders when placed) GPR Stabilizer 8715 Dead Stick Rd. San Diego, CA ph#(619) fx#(619) Valter Moto Components 8715 Dead Stick Rd. San Diego, CA ph#(619) fx#(619)

3 8715 Dead Stick Rd. San Diego, CA Minimum Advertised Price Policy (MAP) In order to protect GPR STABILIZER s, LLC reputation for exceptional products and technology, GPR STABILIZER, LLC has a Minimum Advertised Price Policy for all our products. The policy states as follows within an allowable 10% margin of error: GPR STABILIZER, LLC has established a Minimum Advertised Price for all our stabilizer kits. With respect to products for which a Minimum Advertised Price is specified on the current GPR STABILIZER, LLC price list, it is GPR STABILIZER s, LLC unilateral policy to allow twenty-four (24) hours to bring advertising into compliance or GPR STABILIZER, LLC will cease supplying for a period of fourteen (14) days, the product in question to any dealer whose advertising of the product (or to any distributor who sells to a dealer whose advertising of the product) (i) fails to display a price equal to or greater than the Minimum Advertised Price for the product as specified on the current GPR STABILIZER, LLC price list. (ii) contains a price lower than the Minimum Advertised Price set forth in the current GPR STABILIZER, LLC price list. GPR STABILIZER s, LLC unilateral policy is to cease supplying for a period of thirty (30) days for any second violation, sixty (60) days for any third violation and one (1) year for any subsequent violation of this policy as noted above. This policy applies to all forms of dealer advertising including mailings, catalogs, displays at consumer exhibitions and shows, and any and all other forms of advertising media, including, without limitation, the Internet and any other electronic network. Any price information relating to GPR STABILIZER, LLC products on an Internet website which can be accessed directly through any hypertext link or by any other method which uses the hypertext transfer protocol (http) is considered to be advertising for purposes of this policy. Electronic mail sent in direct response to a customer inquiry is not considered to be advertising. This policy only concern advertised prices, and does not relate to actual sales prices of any item. Further, this policy applies equally to all GPR STABILIZER, LLC distributors and dealers. The foregoing is a statement of GPR STABILIZER s, LLC unilateral policy and expresses the terms upon which we will deal with our customers. This policy may be modified by GPR STABILIZER, LLC from time to time. GPR STABILIZER, LLC does not seek, nor will it accept, any agreement or understanding with respect to the prices you may advertise or charge at any time.

4 By signing this Agreement, the dealer hereby agrees to abide by the terms and conditions of GPR STABILIZER S Minimum Advertised Price Policy. Signature Date Print/ Name/ Title Dealership Name Dealership Address City, State, Zip Minimum Advertised Price Policy (MAP) MSRP USED FOR MAPP STREET (V1, V4) $ STREET(RC51) $ Ducati 848 $ Quad Remote $ Quad Low Mount $ Dirt: V1SB $ V1FB $ V1 Pro Kit $ V2FB $ V2 Pro Kit $ V3FB $ V4FB $ V4PK $645.00

5 SALES TAX RULES AND REGULATIONS - RESALE CERTIFICATE In compliance with Sales and Use Tax Laws, it is mandatory that we have a signed re-sale certificate on file for each our customers. Please fill out the following fields, including your Sales and Use Tax Permit Number on the form enclosed below. The good faith of the seller will be questioned if he has knowledge of facts which give rise to a reasonable inference that the purchaser does not intend to resell the property as, for example, knowledge that a purchaser of particular merchandise is not engaged in the business of selling that kind of merchandise. UNDER "DESCRIPTION OF PROPERTY TO BE PURCHASED" THERE MAY APPEAR:(1) EITHER AN ITEMIZED LIST OF THE PARTICULAR PROPERTY TO BE PURCHASED FOR RESALE, OR (2) A GENERAL DESCRIPTION OF THE KIND OF PROPERTY TO BE PURCHASED FOR RESALE. SUCH CERTIFICATE IS GOOD UNTIL REVOKED IN WRITING. Please provide your sales tax permit number, with your signature and address on this attached resale certificate SHOP NAME I HEREBY CERTIFY, That I Hold a valid seller's permit No. issued pursuant to the Sales and Use Tax Law; that I am engaged in the business of selling Motorcycles & Performance Motorcycle Accessories that the tangible personal property described herein which I shall purchase from: will be resold by me in the form of tangible personal property; PROVIDED, however that in the event any of such property is used for any purpose other than retention, demonstration, or display while holding it for sale in the regular course of business, it is understood that I am required by the Sales and Use Tax Law to report and pay for the tax, measured by the purchase price of such property. Description of property to be purchased: Dated: Signature: Title: Phone: Address: GPR / R.S. Norman Manufacturing Performance Motorcycle Accessories GPR USE ONLY BELOW THIS LINE Y N Pages 1-3, 4 faxed back Y N Reverse phone search Y N Signatures on pages 2 & 3 Y N CC auth. signed/faxed back Y N Copy of resale # faxed back Y N Y N Copy of voided check, ad, etc Y N Y N Store photos mailed/ ed Y N Y N Valid web address Y N Acct Opened

6 TERMS AND CONDITIONS STATEMENT PRICES/TERMS: PAYMENT: All prices, products and terms are subject to change without notice. Orders are accepted based on prices and terms i effect at the time of shipment. All terms on buyer's purchase order contrary to the terms contained herein are hereby rejected. Acceptance of shipment constitutes acceptance of these terms. All new accounts will be set up CC. We do not extend Net Terms RETURNED CHECKS: SHIPPING: REFUSED ORDERS: DAMAGES: SHORTAGES: RESTOCKING: All returned checks are charged a $25.00 service fee and all future orders will be shipped COD Certified Funds (Money Order, Cashiers Check, UPS Freight Collect, etc. In the event that it should that it should become necessary to place an account in the hands of an attorney or collection agency, all fees incurred will be the responsibility of the account and/or its guarantor(s). All merchandise is shipped via United Parcel Service, unless other arrangements are specified. Any changes to the dealer's billing or shipping address must be reported to GPR / VMC in writing immediately. Any fees incurred as a result of failure to notify GPR / VMC of such changes will be the sole responsibility of the dealer. Additional reshipping fees incurred as a result of failure to specify which store location products should be shipped to when placing your order will be the sole responsibility of the dealer. Refused order(s)/package(s) by the dealer will be charged a 15% re-stocking fee (of the total product ordered) for the order and 100% of the freight/shipping charges. RA's must be approved before GPR / VMC will accept returns Claims for lost or damaged goods should be made with the carrier at the point of receipt. It is your responsibility to inspect all shipments and packages for both internal and external damage at point of delivery. Any shortages or other issues must be reported to GPR / VMC in writing via or fax within 5 days of merchandise receipt or such claim is forever waived. There is a restocking fee of 15% for any orders refused that are not the fault of GPR RETURNS: (RMA) CREDITS: AUTHORIZATIONS: OTHER: Merchandise returns can only be made after a sales rep has issued a Return Merchandise Authorization Number (RMA). and is approved by the sales manager. Each carton returned must be marked with the RMA # given by the sales rep. Any return sent to GPR / VMC without a RMA # will be refused. You may not get credited the full amount o the return if it is shipped to GPR / VMC without an RMA #. We do not assume responsibility for merchandise damaged or lost in transit. If an order is cancelled after it has been packed and invoiced, a restocking fee of 15% (of the total product ordered) will be charged to the dealer. DO NOT DEDUCT RETURNS FROM ORIGINAL INVOICE AMOUNT, unless you have received a GPR / VMC credit memo you can reference for less payment. I authorize the banking and trade references given on this application to provide GPR / VMC with all the requested information. I agree that in the event COD check terms are extended, payment is jointly, severally and unconditionally guaranteed. I understand that any unpaid charges in excess of 30 days from the date of invoice are subject to collection and that all collection or arbitration expenses, attorney's fees and court costs will be borne by the purchasing corporation, partnership or sole proprietor. I understand that GPR / VMC conducts its business in such a manner as to promote the highest standards in quality products, service and image for the motorsports industry. Any actions taken by dealer, its owner(s) or employees which GPR / VMC deems contrary to these standards may be grounds for immediate termination of this dealer contract without notice to the dealer and without explanation. Every effort possible will be made by GPR / VMC to avoid this situation. I understand that this agreement is only applicable to the store locations listed in this Dealer Application and authorized by GPR / VMC. Any changes or additions in store locations must receive separate authorization before merchandise from GPR / VMC can be sold at those locations. I understand that mail order and Internet sales must be pre-authorized in writing by GPR / VMC, as well as the use of any products, designs, logo's, etc. in any media advertisement (ie, print ads, radio/television commercials, etc) By signing below, I declare that I have read and accept the above terms and conditions Authorized Signature Title Date *Any changes/additions/deletions made by Dealer to the Terms and Conditions Statement are NOT accepted by GPR / VMC. Any questions or concerns should be directed to the New Accounts Representative