Become a Dealer

1. DEALER PROGRAM REQUESTED

Selecting Velocity Speaker Design automatically includes American Hard Bag dealer status and benefits. A separate American Hard Bag application is not required.

Dealer program requested *

American Hard BagVelocity Speaker Design

2. COMPANY INFORMATION

Company Name *

DBA

Federal Tax ID Number *

Resale Number / Seller's Permit *

Phone Number *

Fax Number

Purchasing Email *

Company Website URL *

Company Facebook Page

Business Type *

3. BILLING ADDRESS

Street Address *

Unit / Suite

City *

State *

ZIP *

4. SHIPPING ADDRESS

Shipping address is the same as billing address

Street Address *

Unit / Suite

City *

State *

ZIP *

5. CONTACTS AND AUTHORIZED BUYERS

Key Contact Name *

Key Contact Title *

Officer Name 1

Officer Title 1

Officer Name 2

Officer Title 2

Accounts Payable Contact

AP Contact Name *

AP Phone *

AP Email *

Persons Authorized to Place / Cancel Orders and Discuss Payment Arrangements

Authorized Buyer 1

Full Name *

Title / Role

Email *

Phone *

Authorized Buyer 2 (optional)

Full Name

Title / Role

Email

Phone

6. PAYMENT TERMS REQUESTED

Payment terms requested *

Credit CardACHOpen Account / TermsC.O.D.

Open Account / Terms Request

Credit Limit Requested *

Accounts Payable Contact *

Accounts Payable Address *

Accounts Payable Phone Number *

Accounts Payable Email *

Trade References

Please provide three current business trade references for open account / terms consideration. Reference 3 is optional.

Trade Reference 1

Company *

Account Number *

Credit Limit *

Business Phone *

Email *

Address *

Trade Reference 2

Company *

Account Number *

Credit Limit *

Business Phone *

Email *

Address *

Trade Reference 3 (optional)

Company

Account Number

Credit Limit

Business Phone

Email

Address

Personal Guarantee

Guarantor Name(s) *

Guarantor Email *

Guarantor Phone *

By checking this box, I/we, as guarantor(s), jointly, severally, and unconditionally guarantee to American Hard Bag / Velocity Speaker Design the full and prompt payment of all sums now due or that may become due under this account, regardless of whether the debt is primary or secondary, liquidated or unliquidated, absolute or contingent, and agree to remain bound notwithstanding any extension, renewal, modification, or waiver, without notice, presentment, or demand. I/we agree to pay all reasonable attorney fees and costs of collection. This guaranty is continuing until revoked in writing as to future credit and is governed by the laws of the State of California.

Guarantor Signature (type full legal name) *

Date *

Preferred Payment Method for Term Invoices

Open Account / Terms dealers must select how invoices will be paid when due.

Preferred payment method *

Credit card on fileACH on fileCheck mailed by due date

7. RESALE CERTIFICATE

This certificate is for the purchase of item(s) described below from American Hard Bag / Velocity Speaker Design, a division of First Integrated Technologies (FIT).

Seller's Permit Number *

Type of Property Sold *

Description of Property to Be Purchased for Resale *

Responsible Person Name *

Responsible Person Title *

Responsible Person Email *

Responsible Person Phone Number *

By checking this box, I certify the items purchased are for resale in the regular course of business and understand that misuse of a resale certificate may result in tax and penalties.

Signature of Purchaser or Authorized Representative (type full legal name) *

Date *

8. DEALER AGREEMENTS

The required agreement documents below change based on the dealer program selected in Section 1.

9. ELECTRONIC SIGNATURES

Authorized Signer Full Legal Name *

Title *

Date *

Second Signer Name, if applicable

Second Signer Title

Second Signer Date

By checking this box and typing my name above, I acknowledge and agree that this constitutes my legally binding electronic signature. I further certify that the information submitted in this application is true, complete, and accurate.

DEALER APPLICATION

1. DEALER PROGRAM REQUESTED

2. COMPANY INFORMATION

3. BILLING ADDRESS

4. SHIPPING ADDRESS

5. CONTACTS AND AUTHORIZED BUYERS

Accounts Payable Contact

Persons Authorized to Place / Cancel Orders and Discuss Payment Arrangements

Authorized Buyer 1

Authorized Buyer 2 (optional)

6. PAYMENT TERMS REQUESTED

Credit Card Authorization

ACH Authorization

Open Account / Terms Request

Trade References

Trade Reference 1

Trade Reference 2

Trade Reference 3 (optional)

Personal Guarantee

Preferred Payment Method for Term Invoices

Credit Card on File for Term Invoices

ACH on File for Term Invoices

Check by Mail

C.O.D. Request

7. RESALE CERTIFICATE

8. DEALER AGREEMENTS

9. ELECTRONIC SIGNATURES

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Services

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1. DEALER PROGRAM REQUESTED

2. COMPANY INFORMATION

3. BILLING ADDRESS

4. SHIPPING ADDRESS

5. CONTACTS AND AUTHORIZED BUYERS

Accounts Payable Contact

Persons Authorized to Place / Cancel Orders and Discuss Payment Arrangements

Authorized Buyer 1

Authorized Buyer 2 (optional)

6. PAYMENT TERMS REQUESTED

Credit Card Authorization

ACH Authorization

Open Account / Terms Request

Trade References

Trade Reference 1

Trade Reference 2

Trade Reference 3 (optional)

Personal Guarantee

Preferred Payment Method for Term Invoices

Credit Card on File for Term Invoices

ACH on File for Term Invoices

Check by Mail

C.O.D. Request

7. RESALE CERTIFICATE

8. DEALER AGREEMENTS

9. ELECTRONIC SIGNATURES

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