Inter-Continental Trading USA Inc. New Customer Profile

Similar documents
Credit Application. parsource.com GENERAL INFORMATION. Internal Use Only: The following documents are required to begin the application process:

Equustock, LLC Administrative Office and Warehouse

Thank you for your interest in establishing a wholesale account with ZOOCCHINI.

Fax Cover Sheet and Application Checklist. Checklist for Submitting an Authorize.Net Payment Gateway and Optional Merchant Account Set-up Form

Company Information Company Name:

2015 Submission Requirements / Merchant Application

Customer Application/Credit Application

PAYMENT GATEWAY ACCOUNT AND MERCHANT ACCOUNT SETUP FORMS

GPR / VMC Credit Card Authorization Form

DIRECT PURCHASING & DISTRIBUTION POLICY (DPDP)

COMMERCIAL CREDIT APPLICATION AND ACKNOWLEDGEMENT OF TERMS

MYOB Professional Partner Public Accountant

Accounts Receivable. I. Overview Definitions and Abbreviations. Equipment and Supplies Required

Ti ps. Merchant. for Credit Card Transactions. Processing Tips CARD ONE INTERNATIONAL INC

Cigna Health and Life Insurance Company (Cigna) Florida Individual and Family Plan Enrollment Application / Change Form

DISTRIBUTOR APPLICATION. Name of Company DBA. Corporate Address. Telephone Fax. Web Address . Billing Address.

Streamline 222 S 15TH ST STE 402S Omaha, NE (800) x 3 fax (402) Dear Valued Customer:

On behalf of Radius Promotions, LLC., I would like to take this opportunity to welcome you as a new customer. We are excited to have you with us!

Pharmacy Creations, Inc. A Wholly-Owned Subsidiary of Imprimis Pharmaceuticals

PST-5 Issued: June 1984 Revised: August 2015 GENERAL INFORMATION

CREDIT AGREEMENT/APPLICATION

MANDATORY CUSTOMER CREDIT APPLICATION

Merchant Account Service

How To Get Paid Fast

Accounts Payable Contact Information. AP Contact Person: Bill to Information. Bill to Company Name: Bill to Street Address: City: State: Zip:

OneStep Java Point of Sales

USER GUIDE. Rev 9/05

PAYMENT GATEWAY AND OPTIONAL MERCHANT ACCOUNT SETUP FORM

JCharge White Paper. Merchant, Acquirer, Bank, Authorization Network

Using Your Terminal for UnionPay Cards (05/15)

Switching to Peninsula CU

PRIVACY POLICY. We collect information from you when you register on our site, place an order or fill out a form.

REWARDS CARD CORPORATE ORDER FORM

Fax Cover Sheet and Application Checklist Attention: Craig Storms Company: Authorize.Net

PRE-ORDER AGREEMENT. Jordi Hans Design. Organization number: F-Skatt : Registered VAT Nr : SE

Insurance bill payment made easy

Credit Application Terms

A Guide to the Ings USA Wholesale Program

Please Print, Complete, Sign and Fax to Sandra Barnett at (251)

Business Location: Internet Account Only Commercial Building Part of Home

How to Fill Out a Credit Application Online

CardLink Merchant Services

FLEXI-FRAME DISPLAY STANDS

Debit MasterCard BusinessCard Application

Cigna Health and Life Insurance Company (Cigna) Georgia Individual and Family Plan Enrollment Application / Change Form

INDIVIDUAL POLICY CHANGE APPLICATION

HOW TO OBTAIN A NEW CONTRACTOR LICENSE

Cardholder Bank Disputed Transactions

Merchant Card Processing Best Practices

KINGSTON LUMBER SUPPLY COMPANY P.O. Box 169 Kingston, Washington, (360) or (206) Administration FAX: (360)

Why Pay More Than You Have To?

After a valid PO (EDI 850) is received from Party City, follow these procedures to ensure your invoices are paid on a timely basis:

The Wells Fargo Payment Gateway Business Center. User Guide

CTP-129: APPLICATION FOR CIGARETTE AND TOBACCO PRODUCTS PERMITS/REGISTRATION

Turning Technologies, LLC

Cigna Health and Life Insurance Company (Cigna) Texas Individual and Family Plan Enrollment Application / Change Form

BUSINESS CREDIT APPLICATION. Enclosed please find forms necessary for establishing an account with us.

BankAmericard Travel Rewards Program Rules

Attestation of Eligibility for an Enrollment Period

One Good Pizza Deserves Another

Credit Packet Instructions

I. Simplifying Payment Processing. II. Authorizing Your Transactions Correctly page 6

HONOR FINANCE 12/1 /

Membership Application

OnSite 7.0 Setting Up A Merchant Account

Giving Pricing and Merchant Account Information. Monthly Billing Pricing. Additional Merchant Account Fees

Please check one: Applicant s Legal Business Name: Phone # ( ) Credit Requested$

Switch To The First National Bank of Eagle Lake

Once your account is established, you will receive a confirmation or fax with your account number and an order form.

cardholder USER GUIDE Purchasing

Frequently Asked Questions ORDERING ON MYHERBALIFE.COM UNITED STATES, Rev. August 22, 2014

Program Terms Effective Until October 18, 2013

Table of Contents.

MERCHANT SERVICES, LEASING AND OPERATING AGREEMENT. ( Blackboard ). In this Agreement, the words; BbOne Card means a stored-value account

Purchase Perks Program Rules & Conditions

Serta estore Policies

Forever Direct Deposit

Sparkle Power Inc Kato Road, Fremont, CA 94538

Attachment A Master Terms and Conditions Page 1 of 5 RFX No TITLE: 3M Petrifilm Products DHH-Office of Public Health

Illustration 1: Purchase Order Screen

Switch To Volunteer State Bank

1. Personal Information for each signer 2. Social Security Number 3. Copy of Driver s License or Picture ID for each signer

e.service Merchant Services

Individual/Family Health Insurance Change Form for Gold, Silver, Bronze and Catastrophic Plans

Is the Harris MasterCard Gift Card a credit card? No, the Harris MasterCard Gift Card is a prepaid MasterCard.

Lenovo Service Parts Sales Terms and Conditions New Zealand

Transaction Management

LOSB9595 1/36 th Brushless ESC and 10250Kv Motor Combination

Accepting Credit Card Payments

DEALER PROGRAM REQUIREMENTS

Card Not Present Fraud Webinar Transcript

Business Credit Application and Credit Card Authorization form

MasterCoverage The liability protection program

Terms of Agreement. For our drop ship only dealers, there are no minimum purchases; however, the annual purchase amount of $5,000 will apply.

(Remainder of this page intentionally left blank)

Wisconsin Expo, Inc.

ULTIMATE GUIDE TO THE 2012 USPS RATE INCREASE

PAYMENT GATEWAY ACCOUNT AND MERCHANT ACCOUNT SETUP FORMS

- Last 6 months credit card processing statements OR Last 6 months processing statements for ACH or whatever type of processing previously used.

3. Waybill or Bill of Lading Requests - On Line Systems Preferred

Transcription:

fdsafsd Inter-Continental Trading USA Inc. New Customer Profile Business Contact Information Title: Company name: Phone: Fax: Email: Registered company address: Date business commenced: Sole proprietorship Partnership Corporation Other: Business and Credit Information Primary business address: How long at current address? Phone: Fax: Email: Bank name: Bank address: Phone: Type of account: Savings Checking Other: Account number: Business / Trade References Company name: Address: Phone: Fax: Email: Type of account: Company name: Address: Phone: Fax: Email: Type of account: Company name: Address: Phone: Fax: Email: Type of account: How did you hear about us? Agreement 1. Claims arising from invoices must be made within seven working days. 2. By submitting this application, you authorize Inter-Continental Trading USA, Inc. to make inquiries into the banking and business / trade references that you have supplied. Include a copy of your license to sell tobacco. Signatures Title: Date: Title: Date:

Product List OHM Pipe Tobacco Description Case Ct Display Ct Unit Barcode Display Barcode Case Barcode OHM 5lb Pipe Tobacco OHM Pipe Tobacco 5lb Bold 4 N/A 816568010159 N/A 10816568010156 OHM Pipe Tobacco 5lb Blue 4 N/A 816568010166 N/A 10816568010163 OHM Pipe Tobacco 5lb Silver 4 N/A 816568010173 N/A 10816568010170 OHM Pipe Tobacco 5lb Mint 4 N/A 816568010197 N/A 10816568010194 OHM Pipe Tobacco 5lb Gold Mint 4 N/A 816568010142 N/A 10816568010149 OHM Pipe Tobacco 5lb Super Mint 4 N/A 816568010333 N/A 10816568010330 OHM Pipe Tobacco 5lb Natural 4 N/A 816568010180 N/A 10816568010187 OHM Pipe Tobacco 5lb Turkish Red 4 N/A 816568010203 N/A 10816568010200 OHM Pipe Tobacco 5lb Turkish Yellow 4 N/A 816568010210 N/A 10816568010217 OHM 16oz Pipe Tobacco OHM Pipe Tobacco 16oz Bold 24 N/A 894945001419 N/A 10894945001416 OHM Pipe Tobacco 16oz Blue 24 N/A 894945001426 N/A 10894945001423 OHM Pipe Tobacco 16oz Silver 24 N/A 894945001433 N/A 10894945001430 OHM Pipe Tobacco 16oz Mint 24 N/A 894945001488 N/A 10894945001485 OHM Pipe Tobacco 16oz Gold Mint 24 N/A 894945001686 N/A 10894945001683 OHM Pipe Tobacco 16oz Super Mint COMING SOON!! OHM Pipe Tobacco 16oz Natural 24 N/A 894945001440 N/A 10894945001447 OHM Pipe Tobacco 16lb Turk Red 24 N/A 894945001839 N/A 10894945001836 OHM Pipe Tobacco 16lb Turk Yellow 24 N/A 894945001846 N/A 10894945001843 OHM 8oz Pipe Tobacco OHM Pipe Tobacco 8oz Bold 36 N/A 894945001167 N/A 20894945001161 OHM Pipe Tobacco 8oz Blue 36 N/A 816568010005 N/A 10816568010002 OHM Pipe Tobacco 8oz Silver 36 N/A 816568010012 N/A 10816568010019 OHM Pipe Tobacco 8oz Mint 36 N/A 816568010029 N/A 10816568010026 OHM Pipe Tobacco 8oz Natural 36 N/A 816568010036 N/A 10816568010033 OHM Pipe Tobacco 8oz Turkish Red 36 N/A 816568010258 N/A 10816568010255 OHM Pipe Tobacco 8oz Turkish Yellow 36 N/A 816568010265 N/A 10816568010262 OHM 6oz Pipe Tobacco OHM Pipe Tobacco 6oz Bold 36 N/A 894945001372 N/A 10894945001379 OHM Pipe Tobacco 6oz Blue 36 N/A 894945001389 N/A 10894945001386 OHM Pipe Tobacco 6oz Silver 36 N/A 894945001396 N/A 10894945001393 OHM Pipe Tobacco 6oz Mint 36 N/A 894945001471 N/A 10894945001478 OHM Pipe Tobacco 6oz Gold Mint 36 N/A 894945001679 N/A 10894945001676 OHM Pipe Tobacco 6oz Super Mint COMING SOON!! OHM Pipe Tobacco 6oz Natural 36 N/A 894945001402 N/A 10894945001409 OHM Pipe Tobacco 6oz Turkish Red 36 N/A 894945001853 N/A 10894945001850 OHM Pipe Tobacco 6oz Turkish Yellow 36 N/A 894945001860 N/A 10894945001867 OHM 1oz Pipe Tobacco OHM Pipe Tobacco 1oz Bold 120 10 894945001570 20894945001574 30894945001571 OHM Pipe Tobacco 1oz Mild 120 10 894945001594 20894945001246 30894945001243 OHM Pipe Tobacco 1oz Mint 120 10 894945001587 20894945001581 30894945001588

Product List OHM Filtered Cigars Description Case Ct Display Ct Unit Barcode Display Barcode Case Barcode Shargio Filtered Cigars (Carton) OHM Red Filtered Cigars 30 10 894945001976 894945001044 20894945001970 OHM Blue Filtered Cigars 30 10 894945001983 894945001068 10894945001980 OHM Menthol Filtered Cigars 30 10 894945001990 894945001051 10894945001973 OHM Cherry Filtered Cigars 30 10 894945001006 894945001020 10894945001003 OHM Vanilla Filtered Cigars 30 10 894945001006 894945001037 10894945001010 Shargio Filtered Cigars (5ct) OHM Red Filtered Cigars 5ct 120 10 894945001198 10894945001195 20894945001192 OHM Blue Filtered Cigars 5ct 120 10 894945001204 10894945001201 20894945001208 OHM Menthol Filtered Cigars 5ct 120 10 894945001211 10894945001218 20894945001215 Shargio Filtered Cigars (100ct) OHM Red Filtered Cigars 100ct 24 N/A 894945001235 N/A 10894945001232 OHM Blue Filtered Cigars 100ct 24 N/A 894945001242 N/A 10894945001249 OHM Menthol Filtered Cigars 100ct 24 N/A 894945001228 N/A 10894945001225 Case Dimensions (Pipe Tobacco): 5 lb. Case = 20 x 16 x 16 16 oz. Case = 20 x 16 x 16 8 oz. Case = 20 x 16 x 16 6 oz. Case = 20 x 14 12 1 oz. Case = 20 x 14 x 12 Case Dimensions (Filtered Cigars): Master Case = 20 1/2 x 11 1/2 x 12 Case Weight (Pipe Tobacco): 5lb Case = 21 lbs. 16oz Case = 25 lbs. 8oz Case = 19 lbs. 6oz Case = 19 lbs. 1oz Case = 11 lbs. Case Weight (Filtered Cigars): Master Case = 26lbs.

Product List Shargio Tubes & Accessories Description Case Ct Display Ct Case Weight Unit Barcode Case Barcode Shargio Injectors & Machines Shargio-Matic 12 1 36 894945001174 10894945001171 Shargio Slide COMING SOON!! Shargio Rolling Box 70mm 20 8 20 894945001639 10894945001096 Shargio Rolling Box 78mm 20 8 20 894945001709 10894945001102 Shargio Dual Injector 20 10 25 894945001327 N/A Shargio Deluxe Injector 20 6 20 894945001747 10894945001744 Shargio Solo Injector 20 6 20 894945001730 10894945001737 Shargio Injector w/ Storage 20 5 20 894945001082 N/A Shargio Hand Roller 70mm 20 12 12 894945001693 10894945001690 Shargio Hand Roller 78mm 20 12 12 894945001105 10894945001102 Shargio Hand Roller 110mm 20 12 12 894945001112 10894945001119 Shargio 3 Electric Injector 12 1 36 894945001754 N/A Shargio Cigarette Cases Shargio King Size Push Button 20 12 20 894945001549 10894945001546 Shargio 100mm Push Button 20 12 20 894945001501 10894945001508 Shargio King Size 2-Divider 20 12 20 894945001761 10894945001768 Shargio 100mm 2-Divider 20 12 20 894945001778 10894945001775 Shargio 2-Piece Metal 12 12 20 894945001495 10894945001492 Shargio Water Proof 20 6 20 894945001563 10894945001560 Shargio Cigarette Case w/ Lighter 20 6 20 894945001518 10894945001515 Shargio Filter Tips Shargio Filter Tips 20mm 200ct Regular 50 5 894945001143 10894945001140 Shargio Filter Tips 20mm 200ct Menthol 50 5 894945001150 10894945001157 Shargio Filter Tips 15mm 200ct Slim 72 5 894945001136 10894945001133 Shargio Filter Tips 15mm 100ct Short 72 5 894945001129 10894945001126 Shargio Cigarette Tubes Shargio King Size 200ct Red Tubes 50 200 10 894945001808 10894945001805 Shargio King Size 200ct Blue Tubes 50 200 10 894945001815 10894945001812 Shargio King Size 200ct Green Tubes 50 200 10 894945001785 10894945001782 Shargio 100mm 250ct Red Tubes 40 250 10 816568010227 10816568010224 Shargio 100mm 250ct Blue Tubes 40 250 10 816568010234 10816568010231 Shargio 100mm 250ct Green Tubes 40 250 10 816568010241 10816568010248

Shargio King Size Tube, 200 Count Available in Red, Blue and Green

Authorization Agreement for Direct Payments (ACH Debits, EFT - Electronic Funds Transfer) * 2% EFT Discount on all products COMPANY: FEDERAL ID NUMBER: I (we) hereby authorize Inter-Continental Trading USA Inc. hereinafter called COMPANY, to initiate debit entries to my (our) ( ) Checking ( ) Savings account (select one) indicated below at the depository financial institution named below, hereinafter called DEPOSITORY, to debit the same to such account. DEPOSITORY NAME: BRANCH: CITY: STATE: ZIP CODE: ROUTING NO: ACCOUNT NO: This authorization is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY reasonable opportunity to act on it. NAME(S): ID NUMBER: SIGNED X DATE: SIGNED X DATE: We wish to receive notice to any transfer from our account in excess of $ Note: You will receive a copy of your invoice the day the EFT is set up. The bank pull date is the next business day. NOTE: ALL WRITTEN DEBIT AUTHORIZATIONS MUST PROVIDE THAT THE RECEIVER MAY REVOKE THE AUTHORIZATION ONLY BY NOTIFYING THE ORIGINATOR IN THE MANNER SPECIFIED IN THE AUTHORIZATION. A COPY OF A VOIDED CHECK IS REQUIRED ON ALL EFT ACCOUNTS! * 2% EFT Discount on all products

Credit Card Authorization Form PLEASE COMPLETE THIS AUTHORIZATION FORM AND FAX IT TO OUR OFFICE OR SEND VIA US POSTAL MAIL. NAME: CARDHOLDER NAME: SIGNATURE: ADDRESS: CREDIT CARD TYPE: VISA MASTERCARD DISCOVER CREDIT CARD NUMBER: EXPIRATION DATE: BILLING ZIP CODE: CARD VERIFICATION NUMBER (ON BACK OF CARD): Note: You will recieve a copy of your invoice the day your card is charged. NOTE: ALL WRITTEN DEBIT AUTHORIZATIONS MUST PROVIDE THAT THE RECIEVER MAY REVOKE THE AUTHORIZATION ONLY BY NOTIFYING THE ORIGINATOR IN THE MANNER SPECIFIED IN THE AUTHORIZATION.

Order Form PO # Date Rep Shipping Information Company Address City State, ZIP Phone Billing Information Company Address City State, ZIP Phone OHM 5LB # CASES PRICE BOLD BLUE SILVER NATURAL MINT SUPER MINT GOLD MINT TURKISH RED TURKISH YELLOW OHM 16OZ # CASES PRICE BOLD BLUE SILVER NATURAL MINT SUPER MINT GOLD MINT TURKISH RED TURKISH YELLOW OMM 8OZ # CASES PRICE BOLD BLUE SILVER NATURAL SUPER MINT MINT TURKISH RED TURKISH YELLOW * A 15% mixed case fee is added on any order which requires less than one case of any item. OHM 6OZ # CASES PRICE BOLD BLUE SILVER NATURAL MINT SUPER MINT GOLD MINT TURKISH RED TURKISH YELLOW OHM 1OZ # CASES PRICE BOLD MILD MINT SHARGIO TUBES # CASES PRICE RED 250CT BLUE 250CT GREEN 250CT RED 200CT BLUE 200CT GREEN 200CT OHM CIGARS # CASES PRICE RED BLUE MENTHOL CHERRY VANILLA SHARGIO TIPS # CASES PRICE REG 20MM 200CT MENT 20MM 200CT SLIM 15MM 200CT SHORT 15MM 200CT CIGARETTE CASES # DISPLAYS # MASTER PRICE 2 PIECE ALUMINUM PUSH KING PUSH 100 DIVIDER KING DIVIDER 100 CIG W/ LIGHTER WATERPROOF INJECTORS/ROLLERS # DISPLAYS # MASTER PRICE SHARGIO 3 SHARGIO-MATIC SOLO ROLLER DELUXE ROLLER DUAL INJECTOR ROLLING BOX 70MM ROLLING BOX 78MM HANDROLLER 70MM HANDROLLER 78MM HANDROLLER 110MM INJECTOR W/ STORAGE

Terms & Policies Sales Terms & Policies Thank you for your business with Inter-Continental Trading USA Inc. We appreciate the fact that you choose to buy quality OHM Pipe Tobacco, OHM Filtered Cigars and Shargio accessories. Our goal is to ensure you have a favorable experience while exploring and purchasing our products. As with any shopping experience, there are terms and conditions which apply to any and all transactions made with Inter-Continental Trading USA Inc. By making a purchase with Inter-Continental Trading USA Inc., you agree to the terms set forth below. Shipping Terms The customer is responsible for shipping fees on all orders under $800.00. Inter-Continental Trading USA Inc. pays for shipping within the Continental United States on all orders over $800.00. We ship via UPS Ground, UPS Freight & truckload services, customer does not have the option of choosing which shipping method is used for free shipping. If a specific shipping method is prefered the customer may pay the difference. Inter-Continental Trading USA Inc. does not pay for ANY additional freight charges. If an order is shipped via UPS Freight and no one is available to unload the shipment, the customer will be responsible for ALL UPS inside delivery charges for unloading. Other Tobacco Products (OTP) Taxes Inter-Continental Trading USA Inc. will pay all Other Tobacco Products (OTP) Federal excise tax on products sold. Customers are responsible for paying all Other Tobacco Products (OTP) State excise tax on products purchased. Prices of our products DO NOT reflect state excise taxes. For questions or further information contact Customer Service at 1-800-595-0796. Return Policy Unopened and unused merchandise may be returned up to 30 days from the date of receiving the order for a refund. Shipping costs aquired for returns are at the cost of the customer. A 15% restocking fee will be applied for all returns. All returns must be authorized in advance. Any returns shipped back without authorization will not be accepted and no credit will be issued. To avoid delays in issuing a credit, please provide your account manager with return tracking information so that we may confirm that the product has been returned. If the conditions stated in our policy are not met Inter- Continental Trading USA Inc. reserves the right to refuse the return and charge additional shipping and restocking fees dependant upon the situation. Refunds will only be issued under the following conditions: 1. Merchandise must be in resaleable condition, in its original carton and including all packaging materials. 2. Customer is responsible for return shipping (unless merchandise is damaged and approved by Inter- Continental Trading USA Inc.). 3. No return of broken or split cases. 4. Claims after 30 days of reciept are not eligible for return or replacement. Damage Policy Inter-Continental Trading USA Inc. will replace and cover shipping cost on any defective, damaged or wrongly shipped item if you notify us within 30 days of receipt. If the conditions stated in our policy are not met Inter- Continental Trading USA Inc. reserves the right to refuse the return and charge additional shipping and restocking fees depending on the situation. By signing below, you acknowledge receipt of Inter-Continental Trading USA Inc. s Terms and Policies, and agree to the terms outlined in this contract.