The Kroozie - Wholesale Registration Form

Wholesale Registration Form

Please complete and submit the registration form below to apply for Kroozer Cups USA LLC wholesale pricing.

Once your application is reviewed, you will receive confirmation of approval by email.

Company Name:

Address:

City:

State:

Zip Code:

Phone Number:

Web Site:

Shipping Address: (if different):

City:

State:

Zip Code:

Phone Number:

Billing Address: (if different):

City:

State:

Zip Code:

Accounts Payable Contact:

Phone/Ext:

E-mail:

Resale/Tax Certificate:

Name:

Title:

E-mail:

Name:

Titile:

E-mail:

Name:

Title:

E-mail:

Name(s) of Principle Owners or Officers

Business Information

I understand that my acceptance to these Terms and Conditions constitutes my original signature.

I understand that my first 3(three) orders must be paid in full, in advance, before my order is shipped via Credit Card, Check, or PayPal.

I understand that my 4th order going forward I may elect Net 30 terms pending Kroozer Cups USA LLC. approval. If Net 30 terms are granted, I agree to send payment for the full amount within 30 days.of dated Invoice. I agree to accept a finance charge (15% APR) on all past due accounts.

I agree that should Kroozer Cups USA LLC. be forced to hire a collections company to collect my delinquent account balance I am liable for, and will be charged for all costs incurred. I also certify, under penalty of perjury, that all information provided above is true and correct.

Terms and Conditions