It is agreed that any purchases made with this account will be paid for using accepted methods of AquaCrylic and paid within the guidelines set
forth by AquaCrylic. All payments are due as stated in your contract (which will be discussed once account is approved) and shall not be late. Late
payments may result in delivery interruption and/or account termination. We reserve the right to revoke service at any time. If payment is to be
done via check, a credit card back up will be required. NSF checks will carry a $50.00 charge that will be payable immediately.
I hereby authroize AquaCrylic to contact and verify the references herein listed, or statements or other data obtained from me or any other person pretaining to finiancial responsibility. Applicant certifies that all of the above information is true, valid, and complete to the best of their knowledge
and ability. Applicant also represents and agrees that all merchandies purchased is for business, commercial, or resale purposes only. This
information is private and will be treated as such. AquaCrylic will not give the above information to any source other than our own company.
This is the first step in becoming a wholesale customer. Our wholesale representative will contact you once the form is reviewed to continue the process and validate the account.