Kay & L - New Account Application

Kay & L Draperies
New Account Application

Apply for an Account Online

Now you can apply for a Kay & L Account online!

It's Fast, Easy and Available 24 hours a day/7 Days A week

Simply complete the following online application. If a sales representative has already visited you please indicate that. If not, we'll have a sales representative contact immediately to introduce you to the Kay & L program.

If you prefer you can download our credit application here and fax the information.

Bill to		Ship To
Name		Name
Address		Address
Address1		Address1
City		City
State	Zip Code	State	Zip Code
Phone #		Ship To Phone #
Fax #		Ship to Fax #
E-Mail		E-Mail
Key Personnel
Owner		Owner 2
Address		Address
Address1		Address1
City		City
State	Zip Code	State	Zip Code
Phone #		Phone #
BUSINESS INFORMATION (Required for Federal Tax Purposes)
Retail Store Home Operation Design Studio
Date at this location		Year Established	Incorporated Yes
REFERENCES
Company		Account #
Address		Phone #
City		Fax #
State	Zip Code	Contact

Company		Account #
Address		Phone #
City		Fax #
State	Zip Code	Contact

Company		Account #
Address		Phone #
City		Fax #
State	Zip Code	Contact
BANK REFERENCE
Bank		Account #
Address		Phone #
City		Fax #
State	Zip Code	Contact
Fed ID or Socl Sec Number		Sales Tax Number

THE FOLLOWING TERMS AND CONDITIONS OF SALE MUST BE READ AND SIGNED BY AN AUTHORIZED ACCOUNT REPRESENTATIVE.

Agreement: Applicant agrees that extension of credit by seller shall be subject to and in consideration of the following terms and conditions:

1. OUR NORMAL TERMS FOR OPEN ACCOUNTS ARE 1% TEN DAYS, NET 30 DAYS, 1 1/2% INTEREST PER MONTH CHARGED ON PAST DUE AMOUNTS. NO DISCOUNTS WILL BE ALLOWED ON PAST DUE INVOICES. PAYMENT OF ALL AMOUNTS DUE, AS EVIDENCED BY THE ACCOUNT, SHALL BE MADE NOT LATER THAN THE DUE DATE AS INDICATION ON EACH INVOICE UNDER THE "TERMS".

2. NO RETURNS SHALL BE MADE WITHOUT THE AUTHORIZATION OF KAY & L DRAPERIES, INC.

3. NSF CHECKS WILL CAUSE AN ACCOUNT TO BE PLACED ON IMMEDIATE COD (CASH ONLY BASIS)

4. NSF CHECKS WILL INCUR A $20.00 PROCESSING CHARGE FOR EACH OCCURRENCE.

s. IN THE EVENT OF A SHORTAGE OR DISPUTE, CUSTOMER MUST NOTIFY KAY & L DRAPERIES, INC. WITHIN 15 DAYS OF RECEIPT OF MERCHANDISE, SPECIFYING THE INVOICE NUMBER, NATURE OF THE DISPUTE AND AMOUNT UNDER DISPUTE.

6. SHOULD IT BE NECESSARY TO ASSIGN THE ACCOUNT BALANCE TO A LICENSED COLLECTION AGENCY OR ATTORNEY FOR LEGAL ACTION, ALL SUBSEQUENT COLLECTION CHARGES AND LEGAL FEES SHALL BE PAID BY THE APPLICANT. WE, THE APPLICANT, WAIVE OUR PRIVILEGE OF BEING SUED IN THE COUNTY OF OUR RESIDENCE AND AGREE THAT THE CONTRACT IS ENTERED INTO AND THE WORK WILL BE PERFORMED IN WAVERLY, BREMER COUNTY, IOWA AND SUIT MAY BE BROUGHT IN BREMER COUNTY, IOWA.

7. WE AGREE TO IMMEDIATELY NOTIFY KAY & L DRAPERIES, INC. OF ANY CHANGE IN OWNERSHIP, FORM OF SAID BUSINESS OR ADDRESS.

8. I UNDERSTAND THAT THE SAMPLES WHICH I RECEIVE ARE FOR MY USE AS A SALES TOOL AND REMAIN THE PROPERTY OF KAY & L DRAPERIES, INC.

9. WHEN A CUSTOM ORDER IS PLACED, I UNDERSTAND THAT IT MAY NOT BE CANCELED ONCE THE ORDER HAS REACHED THE CUTTING PROCESS.

I CERTIFY THAT ALL OF THE ABOVE INFORMATION GIVEN IS CORRECT AND THAT I HAVE READ AND AGREE TO ABIDE BY THE TERMS AND CONDITIONS. BY TYPING YOUR NAME TITLE AND DATE YOU CERTIFY THAT YOUR AGREEMENT AND DIGITAL SIGNATURE.

Has a Kay and L Account Representative Already Contacted you? Yes

Authorized Representative Title

Date of Submission

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