| page 1 of 4 | |||||||||
| Biker Design Inc. | |||||||||
| 777 Main Street Daytona Beach, FL 32118 | |||||||||
| Phone) 386-252-6434 Fax) 386-252-6498 | |||||||||
| wholesale@bikerdesign.com | |||||||||
| Wholesale Dealer Application | |||||||||
| To obtain dealer status please provide us with: | |||||||||
| * dealer application filled out completely, dated and signed | |||||||||
| * signed copy of Annual Resale Certificate for sales tax | |||||||||
| Fill out and send or fax all information to us before placing an order . | |||||||||
| Company name | |||||||||
| Billing Address | |||||||||
| City | State | Zip | |||||||
| Shipping Address | |||||||||
| City | State | Zip | |||||||
| Phone | Fax | ||||||||
| Alternate Phone | |||||||||
| Owner's Name | |||||||||
| Contact | Alternate Contact | ||||||||
| Year business Established | |||||||||
| Email Address | |||||||||
| page 2 of 4 | |||||||||
| Principals or Owners | |||||||||
| Name | |||||||||
| Title | Home Phone | ||||||||
| Home Address | |||||||||
| City | State | Zip | |||||||
| Name | |||||||||
| Title | Home Phone | ||||||||
| Home Address | |||||||||
| City | State | Zip | |||||||
| Credit Card Information | |||||||||
| Credit Card Account # | |||||||||
| Expiration Date | CCV2 Code | ||||||||
| (last 3 or 4 #s | |||||||||
| on back of card) | |||||||||
| Cardholder's Name | |||||||||
| Billing Address | |||||||||
| Zip | Cardholder's Signature | ||||||||
| page 3 of 4 | |||||||||
| Bank Information | |||||||||
| Bank Name | |||||||||
| Bank Phone | |||||||||
| Bank Address | |||||||||
| City | State | Zip | |||||||
| Checking Account # | |||||||||
| Trade References | |||||||||
| ( List two companies) | |||||||||
| Name | |||||||||
| Phone | |||||||||
| Account # | Sales Rep | ||||||||
| O Open | O COD | O Credit Card | |||||||
| Name | |||||||||
| Phone | |||||||||
| Account # | Sales Rep | ||||||||
| O Open | O COD | O Credit Card | |||||||
| page 4 of 4 | |||||||||
| Biker Design Inc. Wholesale Terms & Conditions | |||||||||
| Business Hours | |||||||||
| Monday - Friday from 9:30 a.m. - 5:00 p.m. Closed Saturdays, Sundays and Holidays. | |||||||||
| Ordering | |||||||||
| All wholesale customers are required to fill out a Wholesale Dealer Application, and must provide a | |||||||||
| copy of the current year Resale Certificate before placing an order. | |||||||||
| Fax orders anytime to 386-252-6498 | |||||||||
| All orders are on a first come first serve basis. Any merchandise needed by a specific date, must | |||||||||
| be ordered at least one week in advance. Same day or overnight orders will have an additional | |||||||||
| charge. | |||||||||
| All clothing will be sold in prepacks of six or twelve, depending on the style. Special orders may be | |||||||||
| placed but, must be: twelve dozen of one style, one size and one color (this must be ordered twelve | |||||||||
| weeks in advance.) NO OTHER EXCEPTIONS WILL BE PERMITTED!! | |||||||||
| Terms | |||||||||
| All terms, conditions and prices are subject to change without notice. Orders are shipped | |||||||||
| C.O.D., Money Order, Cashier's Check or Credit Card. Dealer may pay by company check after the | |||||||||
| first order is complete. Special orders must be prepaid in full. There will be a $30.00 charge on all | |||||||||
| returned checks. If litigation is necessary for collection, the costs of collection agency fees, legal | |||||||||
| fees, interest and service charges will be added to all unpaid invoices. Freight charges and a $3.00 | |||||||||
| handling fee on each box will be added to all orders. | |||||||||
| Returns | |||||||||
| All claims must be made within 30 days of the shipping date. Returns must have a written | |||||||||
| explanation on your company letterhead included in the box of merchandise you are returning. A | |||||||||
| 10% restocking fee will occur on returned merchandise. Your company is responsible for any | |||||||||
| shipping charges that occur in the return. | |||||||||
| Date______________Signature_______________________________________________________ | |||||||||
| Print Name____________________________________Position____________________________ | |||||||||
| Biker Design Inc. | DATE: | ||||||||
| 777 Main Street | |||||||||
| Daytona Beach, FL 32118 | YOUR PO#: | ||||||||
| F) 386-252-6498 | |||||||||
| Email: wholesale@bikerdesign.com | REQUIRED SHIP DATE: | ||||||||
| SALESMAN: | |||||||||
| BILL TO: | SHIP TO: | ||||||||
| PLEASE CIRCLE ONE. | |||||||||
| C.O.D. | Credit Card | ||||||||
| (C.O.D. on 1st orders will be Cashiers | |||||||||
| Check or Money Order) | |||||||||
| Prior to your order being | |||||||||
| PHONE: | FAX: | processed we must have | |||||||
| your application and your | |||||||||
| BUYER'S NAME: | annual resale certificate. | ||||||||
| ITEM # | COLOR | QUANTITY | PRICE | TOTAL | |||||