Distributor Application


Please provide the following information:
Dealer  Distributor  Manufacturer    
Shipping Information
BILLING information (if different than shipping)
Enter at least one of the following. I HEREBY CERTIFY: I hold valid seller’s permit number:
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.

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.

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