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  • Owner
 Information
  • Bill To
 Information
  • Ship To
 Information
  • Contact
 Information
  • Business
 Information
  • Payment
 Information
  • Tax
 Information
  • Terms
 Signature
  • Guaranty
 Signature
Owner Information

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Bill To Information

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Primary Ship To Information

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Contact Information

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Business Information

All Fields Marked With An * Are Required

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Payment Information
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Trade Reference 1
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Trade Reference 2
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Trade Reference 3
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Tax Information
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Terms And Conditions

* Signature Required

The applicant represents the information contained on this application to be correct and true and authorizes RBI Corporation to request the credit information on this company. The applicant agrees (a) to pay within terms stated on invoice for all products ordered from and shipped by RBI Corporation, (b) that all cash discounts are based on payment by the discount date noted on the invoice, and apply to qualifying merchandise only, (c) to pay service charges of 1.75% per month on past due balances, and (d) to pay all collection and legal fees in the event an outside agency is employed.

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Guarantee

In consideration of the extension of credit by RBI Corporation to applicant, the undersigned does jointly and severally personally guaranty to pay and be responsible for payment (and not merely collection) of all invoices in accordance with stated terms, attorney's fees, and costs of collection the seller may incur in enforcing the terms of this agreement. If legal action becomes necessary by either seller or buyer it is also agreed that this or any contemporaneous or subsequent agreement, will be governed as to validity, interpretation, construction, affect, and in all other respects by the laws of the Commonwealth of Virginia.

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Mail To:

RBI Corporation
C/O Customer Applications
PO Box 9318
Ashland, VA 23227-0318

Fax To:

1-800-947-1335

Questions Call:

1-800-444-7370

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