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Application

Dealer - Distributor - Manufacturer

 

ESI (Extreme Steering Inc)

PO Box 294147

Phelan, CA 92329

Contact us by Phone: (760) 948-9100

Email: sales@esigrips.com

 

Does your company wish to offer ESI products to their customers? Please feel free to request an account by filling in the form fields below. A representative from ESI will contact you to complete your request.

 

For a complete list of authorized ESI distributors go to Distributors.
 

  Please provide the following information:

Company Name

DBA (Doing Business As)

Type of business

Dealer    Distributor    Manufacturer

Web Site
Company Phone Fax
   
Contact Name Position
Phone Fax
E-mail

 

    SHIPPING information:
Street Address
City

State

 
or Province
Zip/Postal Code
Country


 

    BILLING information if different:
Street Address
City
State  
or Province
Zip/Postal Code
Country

 

   Enter at least one of the following.

    I HEREBY CERTIFY: I hold valid seller’s permit number:

US Only: State Resale Certificate :
US Only: Business License :
US Only: Tax ID/Federal ID :
Tax code/VAT no./Importer code :

 

Resale Certificate

This certificate is for the purchase from ESI (Extreme Steering, Inc.).

   I will resell the item(s) listed, which I am purchasing under this resale certificate in the form of tangible personal property in the regular course of my business operations, and I will do so prior to making any use of the item(s)  other than demonstration and display while holding the item(s) for sale in the regular course of my business. I understand that if I use the item(s) purchased under this certificate in any manner other than as just described, I will owe use tax based on each item’s purchase price or as otherwise provided by law.

Description of property to be purchased for resale: Bicycle Accessories

I have read and understand the following:
For Your Information: A person may be guilty of a misdemeanor under Revenue and Taxation Code section 6094.5 if the purchaser knows at the time of purchase that he or she will not resell the purchased item prior to any use  (other than retention, demonstration, or display while holding it for resale) and he or she furnishes a resale  certificate to avoid payment to the seller of an amount as tax. Additionally, a person misusing a resale certificate   for personal gain or to evade the payment of tax is liable, for each purchase, for the tax that would have been due, plus a penalty of 10 percent of the tax or $500, whichever is more.

 

Terms and Conditions of Sale

  Net 30 Terms
  If you are granted payment terms, you agree that if you are late paying your invoice, a 1.5% finance charge or the maximum charge permitted by law may be assessed against all accounts with past due balances. You agree to pay all the company's reasonable attorney's fees and all collection agency fees incurred in the collection of any amount owed there under and not paid when due.
  Acceptance
  Your submittal of an online order and/or phone Order and/or email Order is a conditional acceptance by ESI of your offer to purchase our goods and your acceptance of our terms and conditions. Your receipt and retention of the goods covered by this invoice shall constitute acceptance of these terms. You and ESI agree that any contract hereby entered into has been made and is to be construed to California Law.

  Check Returns
 
 Check returned for insufficient Funds will be assess a $50.00 fee.

  How did you learn about ESIgrips.com?

  Distributors how many dealers do you currently distribute to:

  Distributors list five (5) companies you currently distribute for:

 

Application will not be accepted if the 3 fields below are empty: Signature | Date | Position

 

I have read the terms above and agree to the conditions stated.

Please enter your name as your online Signature:

Date

Position

 

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ESI (Extreme Steering Inc) | 12221 Poplar Street # 5, Hesperia, CA 92345 USA  | 760-948-9100 | sales@esigrips.com