TERMS & CONDITIONS: AS agreed with Coop,  No returns without pre-authorization.

Dealers who are members of Ace Hardware, Do It Best Corporation, House Hasson, Orgill and/or TRUE SERVE can select to be billed and dropped shipped by providing information below, including their ID billing information:

Business name    Contact Person     

Shipping Address  

City       State      Zip Code

Phone number         Fax number           

Corporation, Partnership, OR Sole Owner 
Type of Business

Ace Hardware ID                                                            Do It Best Corporation ID        
House Hasson ID       Orgill ID       TRUE SERVE ID 

We hereby AGREE to the  TERMS & CONDITIONS offered and authorize AFAB Distribution and/or Brown _USA to
Drop ship with third-party billing PROVIDED ABOVE.

Name of owner, partner and/or officer
                                                         Title      Date 
 

TERMS & CONDITIONS: NET 15 DAYS with APPROVED CREDIT, No returns without pre-authorization.

Business name    Contact Person     

Billing Address 
City       State      Zip Code

Shipping Address  
City       State      Zip Code
Phone number         Fax number           

Corporation, Partnership, OR Sole Owner 
Type of Business
Do you Own, Rent OR Lease business location(s)?
Any Judgments and/or Litigations Pending? Yes or No      Years in business     # of Locatons
Accounts Payable Contact Person         Phone number  

Bank Reference
BANK name              Contact Person   
Address                     Account number  
City                            State      Zip Code
Phone number          Fax number           

Trade References
Business name        Contact Person   
Address                     Account number  
City                            State      Zip Code
Phone number         Fax number           

Business name        Contact Person   
Address                     Account number  
City                            State      Zip Code
Phone number         Fax number           

Business name        Contact Person   
Address                     Account number  
City                            State      Zip Code
Phone number         Fax number           

We hereby AGREE to the TERMS & CONDITIONS offered and authorize AFAB Distribution and/or Brown _USA to legally obtain whatever
 information is necessary, including contacting the above references, to determine our eligibility for an open credit line.

Name of owner, partner and/or officer
                                                         Title      Date