Wholesale Account Application Form
Sales Mgr App ________ Cust # ________
Credit Terms ________ Territory ________
Delivery ________ Cust Type ________
Approved By ________ Credit Limit $________
Please select your desired account type:
Commercial Building
Home Residence

*NOTE: Businesses in California must fill out the California Resale Certificate form and submit separately.

Bank information must be complete for consideration of open terms or company check.

Yes No

Business References: Must be complete for consideration of open terms and company check!

I/we authorize CSI to investigate bank/business references listed for the purpose of obtaining an account with CSI and certify the information given to be current and correct. Upon submitting this application, I/we personally guarantee payment of all invoices in full and in accordance with the terms of sale set forth by Competition Specialties, Inc. (CSI). Copies of CSI terms and policies are available upon request, or online at http://www.compspecialties.com/terms. I/we fully understand this to be a binding obligation, which in the event the CSI brings legal action to enforce payment, I/we promise to pay past due service charges/collection agency charges/attorney fees and court costs.

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(For California Residents)
WARNING: This product can expose you to chemicals including LEAD and DEHP, which are known to the state of California to cause cancer and birth defects or other reproductive harm. For more information go to www.P65Warnings.ca.gov. Wash hands following installation or handling.

*Competition Specialties, Inc. will not offer products to customers in the state of California that violate any Federal or State Laws, Vehicle codes 27156 and 38391 that are not legal to install, sell, offer to sell, or advertise any device, apparatus, or mechanism intended for use with, or as part of, any required motor vehicle pollution-control device or system which alters or modifies the original design or performance of any such motor vehicle pollution-control device or system, unless exempted by the CARB. Products that are legal to sell meet the requirements of Memorandum 1A of The Clean Air Act or have been assigned a CARB Executive Order (E.O.) number based on emissions testing. For further clarification go to www.arb.ca.gov.