Tags: address city state, address type, application business, billing address, business card, business name, business phone, cell phone, city state zip, code email, columbus montana, dealer application, failure, letterhead, phone fax, resale certificate, shipping address, state zip code, wholesale, wholesale price,
TOLL FREE (800) 548-4511 P.O. BOX 839
TELEPHONE (406) 322-4555 COLUMBUS, MONTANA 59019-0839
FAX (406) 322-4225
Please Sign and Date Please Attach
Reverse Side. NEW DEALER APPLICATION Resale Certificate.
Thank you for your interest in Group Montana, Inc. products. We appreciate the opportunity to provide you with our catalog and confidential wholesale price
information. Upon approval of your application we will forward this information to you.
Please read the attached dealer information and fill out the form completely. Please attach either your business card or a sheet of your letterhead, if available.
Failure to provide all of the information requested will only cause a delay in the processing of your application.
Business Name _________________________________________________________________ EIN: __________________________________________
Business Phone ______________________________________ Fax ____________________________ Cell Phone ________________________________
Shipping Address ____________________________________________________________________________________________________________
City___________________________________________________________ State _________________________ Zip Code ________________________
Billing Address ________________________________________________________________________________________________________________
City ___________________________________________________________ State _________________________ Zip Code ________________________
Email Address_______________________________________________ Type of Ownership: ______ Individual ______Partnership ______Corporation
Business Hours ___________________________________________________ How Long in Business __________________________________________
Owner/Officer Names: ____________________________________ Title ________________________________ SSN __________________________
____________________________________ Title ________________________________ SSN __________________________
____________________________________ Title ________________________________ SSN __________________________
Store Managers Names:__________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
Type of Business and Products Sold or Manufactured: __________________________________________________________________________________
____________________________________________________________________________________________________________________________
CREDIT INFORMATION:
Name and Address of Bank: ____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Phone Number: ____________________________________________________________________________
Bank Officer Contact: ____________________________________________________________________________
Dun and Bradstreet Number: ____________________________________________________________________________
__________I request an open account Credit Limit Desired:_______________ _____________I request a credit card account
Please complete the names, addresses, telephone and fax numbers of four (4) firms your are currently doing business with ON TERMS.
1. Name __________________________________________________ Address ______________________________________________________
City __________________________________________________________________________State ______________Zip Code ____________
Fax Number ______________________________________________Phone Number ________________________________________________
2. Name __________________________________________________ Address ______________________________________________________
City __________________________________________________________________________State ______________Zip Code ____________
Fax Number ______________________________________________Phone Number ________________________________________________
3. Name __________________________________________________ Address ____________________________________________________
City __________________________________________________________________________State ______________Zip Code ____________
Fax Number ______________________________________________Phone Number ________________________________________________
4. Name __________________________________________________ Address ____________________________________________________
City __________________________________________________________________________State ______________Zip Code ____________
Fax Number ______________________________________________Phone Number ________________________________________________
For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows:
SALE OF MERCHANDISE
1. This agreement governs all sales of and offers to purchase or sell merchandise goods or inventory of any type or kind made between Group Montana, Inc.
and customer, and will continue until this agreement is terminated as provide below.
2. Group Montana, Inc.'s policy is to distribute its products through bona fide active retail dealers who maintain retail premises consistent with the high quality
image of Group Montana, Inc. products. Dealer must agree to maintain their inventory stocks of Group Montana, Inc. products at the required levels agreed
upon at the time the dealership is approved. Group Montana, Inc. also provides product to those businesses requiring Premium, Recognition or Promotional
Products.
3. The price, quantity and other terms of sale and shipment of merchandise shall be agreed to by Group Montana Inc. and customer. Customer orders are an
offer to purchase and are subject to acceptance and approval by Group Montana, Inc. Group Montana, Inc. product selection and pricing are subject to
change at any time.
4. Shipment of merchandise to customer shall be from Group Montana, Inc. shipping locations (F.O.B. Columbus, MT or Butte, MT). Customer is responsible for
all transportation and insurance costs.
5. Subject to the other terms of this agreement and except otherwise agreed by the parties in writing with respect to any specific order, Group Montana, Inc.'s
terms of sale are as follows:
a. NET 30 Days Upon credit approval Group Montana, Inc. will extend the courtesy of payment on account to Net 30 Days. Group Montana, Inc. reserves
the right to change such terms in its sole discretion.
b. Credit Card Group Montana, Inc. will charge customers credit card upon shipment.
c. Past Due Balances will be charged interest at the rate of the lesser of eighteen percent (18%) per annum or maximum lawful rate. In the event Group
Montana, Inc. charges interest in excess of the maximum lawful rate, such excess payment will be deemed a partial payment of the balance owed. If the
balance owed has been paid in full, any excess shall forthwith be refunded to the Customer. Payments received from customer shall be applied first to
interest due and next to balance owed.
6. Customer shall reimburse Group Montana, Inc. for all attorney fees, court costs, and other expenses incurred by Group Montana Inc. in collection of amounts
due by Customer. Group Montana, Inc. has sole discretion in the amount of credit that it will extend to Customer, and may refuse to accept additional orders
and/or terminate this agreement. Upon termination, Customer shall pay any and all amounts due and payable immediately.
7. Merchandise Returns - Group Montana, Inc. supplies its dealers with the highest quality products and we stand behind the products we sell. If our products
are defective for any reason the Customer must request a return authorization (RA) from Customer Service and include the RA number with the returned
product. We will exchange defective product or issue credit, if necessary. Group Montana, Inc. is not responsible for merchandise damaged due to misuse,
abuse or neglect, or which has been altered by cleaning solvents, painting, or other foreign materials. Products returned which have been altered as
described above will be charged the normal fees for repairs to the products.
8. Group Montana, Inc. products are not supplied on a guaranteed basis or on a consignment basis. Our Territory Managers do not have the authority to
guarantee sales or to commit sales on a consignment basis.
GENERAL INFORMATION
1. The term "Customer" shall mean Customer individually and/or collectively, and shall include (a) the respective successors, personal representatives, heirs, and
assigns of Customer: (b) any individual, association, trust, partnership, corporation, or other entity to which all or substantially all of the business or assets of
any Customer shall have been transferred or with or into which Customer shall have been merged, consolidated, reorganized or absorbed; and (c) in the case
of a partnership, any general or limited partnership which shall have been created by reason of, or continued in existence after, the admission of any new
partner or partners therein or the dissolution of the existing partnership by death, resignation, or other withdrawal of any partner. The obligations and
agreements of Customer hereunder are joint and several.
2. Group Montana, Inc. acceptance of partial or delinquent payments, or the failure of Group Montana Inc. to exercise any right or remedy shall not be a waiver
of any obligation of Customer or right of Group Montana Inc. or constitute a waiver of any similar default.
3. THIS AGREEMENT SHALL BE GOVERNED BY THE LAWS OF THE STATE OF MONTANA. This agreement may not be amended, altered, or modified, (nor
may any of its terms be waived) except in writing duly signed by an officer (not a territory manager) of Group Montana, Inc. and by Customer. If any provision
of this agreement is rendered or declared illegal or unenforceable, all of the remaining provisions shall remain in full force.
4. The individuals(s) signing for and on behalf of Customer hereby represent and warrant to Group Montana, Inc. that they are duly authorized and empowered
to execute this Agreement on behalf of Customer and that this agreement is valid, binding and enforceable obligation of Customer.
5. This agreement may be terminated at any time by either party hereto upon notice to the other party. Under termination, all amounts owing hereunder, whether
or not then due, shall be immediately due and payable.
6. Customer may not assign the Agreement nor any rights or obligations hereunder without the prior written consent of Group Montana, Inc.
7. Nothing herein shall be deemed to confer any exclusive territorial rights on Customer. Group Montana, Inc. reserves the right, in its sole discretion, to sell
Merchandise to other dealers.
8. All Merchandise sold by Group Montana, Inc. to Customer hereunder is intended to be resold at retail at the premises identified herein. Customer will not
consign or sell merchandise to other merchants, or will not sell our products through a mobile unit unless on a temporary basis. Customer will conduct all its
advertising and promotional activities of Group Montana, Inc. products consistent with the quality image associated with our products.
The Parties hereto have executed this Agreement to be effective as of the date of execution and acceptance for dealership by Group Montana, Inc.
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Customer Signature Title Date
________________________________________________________ __________________________________________ ________________________
Group Montana, Inc. Signature Title Date