Dealer Application Form

Dealer Application Form
Billing Address
City
State/Province
Zip/Postal
Country
Shipping Address
City
State/Province
Zip/Postal
Country

Trade References

Address
City
State/Province
Zip/Postal
Country
Address
City
State/Province
Zip/Postal
Country

Bank Reference

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Terms: All invoices are 1% 10 days, net 10th. Should Agri deem it necessary to turn your account over for collection or legal action, the purchaser agrees to pay in addition to late charges in the amount of 1.5% per month the cost of collection and/or legal fees not to exceed 50% of the sum due.

Shipping: Orders are shipped same day by UPS unless instructed otherwise.