The following is High-Tech Computer Experts procedures for establishing new accounts and placing orders:
1) Complete the New Account form below as thoughly as possible
and return it to High-Tech Computer Experts. Required in all business
transactions.
2) Submit a hardcopy purchase order with an authorized signature
of a company officer to High-Tech Computer Experts. Please make certain
to include the
HTCE Product ID# for each product purchased.
3) We will contact you immediately to confirm that we have received
your information and are processing your request.
4) Upon approval we will contact you to confirm shipment and
delivery dates.
Note: We take service extremely
serious and know that it's important to you; therefore, we will gladly
supply you with any shipping information that you desire.
New Accounts Form
First time orders must be prepaid, or can be shipped C.O.D. with a
Cashier's Check. For C.O.D. orders paid by company check, submission
of complete banking information is required prior to the ship date.
For added convenience, if you would like to request an open account with High-Tech Computer Experts, all that is required is submission of a completed crdit application reflecting current banking information, three trade references, and the signature of a company officer or principal with check signature authority. This application must be filed out in its entirety to be processed. Terms are net 25 days.
Instruction: Please complete this credit application and have it returned to High-Tech Computer Experts to have in processed.
Requested Credit Limit _____________________
Order Pending Yes
No
D&B No._________________________________
Requested Terms (circle one) COD/Company Check Net 30 Days Open Account
Credit Card # _______________Card
Holder Name__________________________Expiration Date_____________
Other_________________
Legal Business Name ___________________________________________________________ No. Yrs. in Business________
Tax Exempt No.___________________________________________ DBA_________________________________________
Type of Business _____________________________________Tel ______-_______-_______ Fax ______-_______-_______
Address_______________________________________________________________________________________________
City ______________________________________ State ___________________ Zip ____________-_________
COMPANY REPRESENTATIVES
Accounts Payable Contact______________________________ Tel ______-_______-_______ Fax ______-_______-_______
Purchasing Agent _____________________________________ Tel ______-_______-_______
Fax ______-_______-_______
TRADE CREDIT REFERENCES
1. Name_______________________________ Tel ______-_______-_______ Account No.___________________________
Address_____________________________ City______________________ State_________
Zip Code_______________
2. Name_______________________________ Tel ______-_______-_______ Account No.___________________________
Address_____________________________ City______________________ State_________
Zip Code_______________
3. Name_______________________________ Tel ______-_______-_______ Account No.___________________________
Address_____________________________ City______________________ State_________
Zip Code_______________
BANK REFERENCES
1. Name_______________________________ Tel______________________ Account Officer________________________
Address ____________________________ City______________________ State__________ Zip Code_______________
Acct. No.____________________________ Acct. Type_____________________________________________________
Acct. No.____________________________ Acct. Type_____________________________________________________
2. Name_______________________________ Tel______________________ Account Officer________________________
Address ____________________________ City______________________ State__________ Zip Code_______________
Acct. No.____________________________ Acct. Type_____________________________________________________
Acct. No.____________________________ Acct. Type_____________________________________________________
3. Name_______________________________ Tel______________________ Account Officer________________________
Address ____________________________ City______________________ State__________ Zip Code_______________
Acct. No.____________________________ Acct. Type_____________________________________________________
Acct. No.____________________________ Acct. Type_____________________________________________________
Attach recent Financial Statements (audited preferred). I hereby certify
that all the information given in this application is true.
Furthermore, I authorize High-Tech Computer Experts to verify all trade
and bank references and/or its agents referred to herein.
Signature:_______________________________________________________________
Date__________________________
This reseller application and agreement is submitted by Customer, to
High-Tech Computer Experts, Inc., (HTCE) to obtain trade credit.
Customer agrees to make payment in full to HTCE for all amounts due according
to HTCE invoice(s). Customer also agrees to pay to HTCE, as interest, an
amount equal to 1.5% per month, or the maximum provided by law (whichever
is less) for invoice amounts that are past due. Should Customer default
in any such payment(s), HTCE shall have the right, without notice to Customer,
to declare all invoice amounts due and payable. In the event HTCE should
commence any action or actions, or otherwise seek to enforce this agreement
against Customer or any Guarantor, Customer agrees to pay reasonable attorney(s)
fees, collection fees, court costs and other expenses incurred by HTCE,
whether or not suit is filed. This agreement is not transferable or assignable
without the prior written consent of HTCE. This agreement shall become
effective upon acceptance by HTCE.
Customer and Customer's authorized representative signing this application represent and warrant that the information provided in this application and in any and all additional documents, financial statements or other information furnished by the Customer to HTCE is true and correct in all material respects and contains all information necessary as that this application is not materially misleading. Customer acknowledges that HTCE is relying on the accuracy of the information provided by Customer.
Customer hereby grants to HTCE a security interest in any and all goods purchased by Customer from HTCE to secure any and all obligations of Customer to HTCE, including but not limited to any obligation of payment. Customer agrees to execute any additional documents necessary to perfect or continue the security interest created by this application.
I/we agree to adhere to the credit service policies and procedures established from time to time by HTCE. These procedures are usually published in the HTCE catalog.
Dated at____________________ , as of this _______, day of_________________,19_________________
Signed by__________________________________________ Name/Title_________________________________________
ALL RESELLERS MUST FILL OUT THIS RESALE CERTIFICATE.
Firm Name________________________________________________________________________________
HEREBY CERTIFY that I hold valid seller's permit no.________________________________________________________
Issued pursuant to the Sales and Use Tax Law; that I am engaged in the business of selling:___________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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 he 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 purchased:_________________________________________________________________________
_____________________________________________________________________________________
Dated_______________________ 19_____________Signature_________________________________
At_________________________________________________ By and
Title_______________________________________
Phone______________________________________________
Address__________________________________________
1. How did you hear about HTCE? (Check all that apply)
( ) Vendor Referral _______________ ( ) Reseller Referral _______________ ( ) Trade Show ______________ ( ) Magazine ________________
( ) Internet ___________________ ( ) Manufacturer ____________________ ( ) Other ______________________________
2a. Which best describes your companys primary business? (Check one)
( ) Value Added Reseller - VAR .. ( ) Systems Integrator .. ( ) Retailer . ( ) Mail Order House .
( ) Government .. ( ) Educational ... ( ) Manufacturer ( ) Other ___________________________________
2b. If you answered (VAR) above, how would you best describe your company's
business? (Check one)
( ) System Integration
.. ( ) Document
Imaging
.. ( ) Other _____________________________________
3. Which best describes your job function within your organization? (Check one)
( ) Executive Staff ( ) Marketing Management .. . ( ) Marketing Staff ( ) Sales Management ( ) Sales Staff ...
( ) Purchasing Management ( ) Purchasing Staff . ( ) Technical Management . ( ) Technical Staff ( ) Consultant
( ) Other ________________________________________
4. Which of the following Distributors do you currently purchase product from? (Check all that apply and provide % purchased from each source)
( ) Tech Data . ( ) Synnex ( ) ASI ( ) Ingram Micro . . . . .( ) New Wave . . . . . . . . ( ) Law Cypress. . . . . . . . . .
( ) Merisel . ( ) ICG ... ... ( ) D & H ( ) Micro Age .. . . . ( ) Dallas Digital . . . . . . . ( ) Archway . . . . . . . . . . . . .
( ) Other _________________________________________
5. How many people are employed by your company? (Check one)
( ) 1-25
( ) 26 - 50
( ) 51-75
( ) 76-100
(
) 101+
... ( ) Not Sure
........
6. What is your companys approximate gross sales? (Check one)
( ) Less than $50,000 .. ( ) $50,001 - $100,000 .. ( ) $100,001 - $150,000 ..
( ) $150,001 - $200,000 .. ( ) $200,001 - $250,000 ( ) $250,001 + ( ) Not Sure or N/A . .
7. What best describes your Customer Base? (Check all that apply
and provide %)
( ) Small Business (100 employees or less) ( ) Medium Business (100 - 500 employees) .......
( ) Large Business (500 + employees) ... ( ) Government ... .
( ) Fortune 1000 .. .....( ) Educational
( ) Not sure .. .
8. What best describes the ownership affiliation of your Company? (Check one)
( ) Part of a Franchise Group ( ) Independently Owned ..
9a. Is your company selling into any Vertical Markets?
Yes
No
9b. If yes, indicate which verticals markets:
( ) Accounting ( ) Health Care .. ( ) Retail .. ..
( ) Legal . .( ) CAD/CAM ... ( ) Manufacturing .
( ) Computer Telephony ....... ( ) Insurance ..( ) Video Teleconferencing ..
( ) Education ........( ) Digital Video . ..( ) Financial Services ...
( ) Remote Access/Networking .........( ) Government .. ( ) Document Imaging .
10. Approximately, how much would you say your company purchases
(if any) in microcomputer products on a monthly basis? (Check one)
( ) Under $5,000 .. ( ) $5,001 - $10,000 ( ) $10,001 - $15,000 .
( ) $15,001 - $25,000 ... ( ) $25,001 - $50,000 ... ( ) $50,001 - $75,000 ...
( ) $75,001 - $100,000 ( ) $100,001 + .. ( ) Not Sure ...
11. Of your microcomputer purchases do you currently finance
any through floor planning?
Yes
No
Company Name:________________________________________________________________________
Phone: _______-_______-_______ Dealer Number _______-_______-_______
Contact Name __________________________________________________________________________
12. Do you currently finance through any other financial institution: Yes No
Please provide the Finance Company Name _______________________________________________
13. Are you interested in receiving information on Floor Planning?
Yes
No
Please e-mail or print and send via standard mail the completed credit
application in its entirety along with you current audited (preferably)
financial statement to: New Accounts
@ HTCE or Mail to: High-Tech Computer Experts, c/o New
Accounts, 1846 Johnston Avenue, San Jose CA 95125.