One-stop-shopping for teachers and parents ~ Family owned since 1983
HOURS : Monday-Thursday 9:00am-6:00pm, ~ Friday & Saturday  9:30am-5:30pm  ~ Sunday : closed
email us: basicsupply@gmail.com

Basic Office & School Supply

10831 Woodedge Drive

Houston, Texas 77070

Telephone: (281) 890-6615      Fax: (281) 894-0160 

ACCOUNT APPLICATION

Name of Firm:  _______________________________________________________________

Billing Address:  ______________________________________________________________

                   City:  ________________________  State:  _____________  Zip: _____________

Ship to Address:  _____________________________________________________________

                   City:  ________________________  State:  _____________  Zip: ­_____________

Phone:  (          )  _______________________

FAX:  (           )  ________________________

Corporation _____ Subsidiary _____ Division _____ Partnership _____ Sole Proprietor _____

If Subsidiary or division, name of parent company:

____________________________________________________________________________

DUNS # ________________  Resale # _________________  Tax I.D. # _________________

Please attach copy of your tax exempt or resale certificate.

Nature of business:  ____________________________________________________________

Annual Sales:                  Year Established: ______ Number of Employees:______

________________________    ________________________    ________________________

         President (or Partner)                  Vice-President (or Partner)              Sec.-Treasurer (or Partner)

Three Trade References:

1.  Name: ____________________________  Phone: _______________ Acct #: _________

     Address: ___________________________ City: ____________ State: ___ Zip: _________

2.  Name: ____________________________  Phone: _______________ Acct #: _________

     Address: ___________________________ City: ____________ State: ___ Zip: _________

3.  Name: ____________________________  Phone: _______________ Acct #: _________

     Address: ___________________________ City: ____________ State: ___ Zip: _________

Bank Reference:

Name of Bank: _________________________________  Branch: ____________________

Address: ___________________________ City: ____________ State: ____ Zip: ________

Loan Officer: ________________________ Phone: ____________ Acct #: _____________ 

Authorized Buyer(s): ___________________________________________________________

Purchase Order Required?    Yes      No        Monthly Credit Desired?  _________________

Accounts Payable Person: _________________________  Phone: _________________

By executing this application, applicant(s) hereby authorize(s) seller to investigate applicant(s) credit record / history and financial responsibility and further authorizes seller to furnish information regarding applicant(s) performance of this agreement to a proper credit reporting agency and such others who are entitled to receive said information in compliance with the Fair Credit Reporting Act, 16 USC Sec 1681, et. Seq.

Applicants will be billed for each purchase made on the account.  Any amounts billed and not paid within the terms stated on the invoice will be considered past due.  Past due amounts will be subject to a FINANCE CHARGE OF 1.5% per month (ANNUAL PERCENTAGE RATE OF 18.0%).  All returned checks are subject to a $25.00 service charge.  Collection of finance charges and service charges in no way alters the seller’s rights to seek other remedies allowed by law or in equity.

In the event that applicant fails to pay the entire balance on the account when due, seller may declare the account to be in default and without further notice or demand, exercise all rights and remedies available by law for the collection of the balance due on the account.  In the event of default, applicant will be liable for all expenses of collection, with or without suit, including but not limited to all court costs and attorney fees, to the extent allowed under applicable law.

The undersigned certifies that he has read and understands all the terms and conditions set forth herein and agrees to be bound by the same in the event that any credit is extended pursuant this agreement.

The undersigned further certifies that the above information is accurate and complete and that a true and correct copy of the foregoing application containing the disclosures, terms and conditions applicable to this transaction has been furnished.

Signature: _______________________________________  Title: ______________________

Date: ________________________

  Invalid Without Signature

Please Fax or Mail Completed Applications to:

                                                Basic Office & School Supply

                                                10831 Woodedge Drive

                                                Houston, TX 77070

                                                Attn: Credit Application

                                                (281) 894-0160  FAX

                                                (281) 890-6615  Phone