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Stage Spot - Theatrical & Stage lighting supplies for your production needs

Credit Application

Billing Information:   Contact Information  
Name
Name

Company
Name

Company Name
Street
Address 1
Street Address 1
Street
Address 2
Street Address 2
City
City
State
State
Zip
Zip
Phone 1
Phone 1
 
ex. 123-456-7890 x1234   ex. 123-456-7890 x1234
Phone 2
Phone 2
Email
Email
  user@hosting.com   user@hosting.com
General Information
Federal Tax ID
Company Type
   
Individual    Partnership    LLC    Corporation    Non-Profit
   
Amount of Credit Desired   $ dollars Are Written PO's Required? Yes No
Banking Information
Bank Name Name of Contact at Bank
Bank Phone with extension (if known)
Bank
Address1
ex. 123-456-7890 x1234
Bank
Address2
 
Bank
City
 
Bank
State
 
Bank Zip
 
Type of Account
Savings    Checking  
Account Number
 

Credit Card Information
(
credit card will only be used in case of deliquent account)

Credit Card Type   Account Number  
Expiration Date

Visa        MC
Discover AMEX

 

/ (mm / yy)
ex. 10/08

Is Billing Information for Credit Card same as Billing Information above?
Yes     No
**If NO please complete the following section**
Name on Card
   
Credit Card Billing
Street Address 1
   
Credit Card Billing
Street Address 2
   
Credit Card Billing City
   
Credit Card Billing State
   
Credit Card Billing Zip
   
Terms and Conditions
Payment is due and payable in U.S. dollars 15 days from invoice date. Payments not received by the due date are considered past due. In addition to StageSpot, LLC undertaking any of the actions set forth in this Agreement, if any payment is not paid when due: (i) a late charge shall accrue equal to 7% (or the maximum legal rate, if less) of the unpaid balance per month; (ii) StageSpot, LLC may require a security deposit or other forms of security acceptable to StageSpot, LLC for any future orders; and/or (iii) StageSpot, LLC may take any action in connection with any other right or remedy StageSpot, LLC may have under this Agreement in law or in equity.
Acceptance and Approval
Submitting this agreement indicates your acceptance of the terms and conditions as stated. In addition, you authorize StageSpot, LLC to make any and all inquiries neccesary to process the Credit Application.
 
            
We accept PayPal, VISA, Master Card, American Express and Discover

*Stage Spot ships orders over $69 in the continental US free ground;
non-domestic, expedited, and freight orders will incur shipping charges.