Credit Application

Company Name

Name on card

First

Last

Confirm Email

Credit card number

UWP accepts Visa, Mastercard, Discover & Amex

CVV

Exp month

Exp year

Amount to Authorize

Invoice / Reference #

Phone

Billing Address (address MUST match the billing address for the credit card)

Address Line 1

Address Line 2

City

State

Zip Code

Signature

By signing your name above, you agree your electronic signature is the legal equivalent of your manual signature on this form. We respect your privacy and all information entered into the site is sent over the internet from your computer to ours, using Secure Socket Layer (SSL) strong SHA-2 and 2048-bit encryption We follow generally accepted industry standards to protect the personal information submitted to us, both during transmission and once we receive it. No method of transmission over the internet, or method of electronic storage, is 100% secure however. We also do have available a PDF CCAF if you are not comfortable sending information over the internet.

Comment or Message

Clicking the submit button athorizes that charges for the total amount above will appear credit card statement as Unique Wood Products and fully understand that all returns are subject to a restocking fee. Be advised there are no returns or chargebacks credits given on any custom or special order material. Also clicking on the Submit button below, you agree that if, after payment by credit card, you later dispute the charges, unless prohibited by law, you agree not ot cancel, revoke chargeback or dispute any previously entered charge on your credit card. If you do so, and it is later determined that the charge was properly authorized, you agree to pay all out-of-pocket fees and cost incured by Unique Wood Products as a result of improper, cancellation, revocation and charge back or dispute.

Contact Information

How would you best describe yourself/your company? *

Business Type *

Full Legal Name of Individual or Company *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Year Business was Established.

Email *

Phone

Driver License Number *

Authorized Charger

Purchase Orders Required *

Do you re-sell products *

Re-Seller Certificate (if applicable).0

Click or drag a file to this area to upload.

Agreement to Terms and Conditions *

The customer acknowledge(s) & agree(s) to the terms of this agreement. By executing this credit application / sales agreement, the undersigned jointly and severally agree(s) that customer will comply with all provisions hereof, and will pay all sums and charges on this or any past, present or future account opened and/or maintained in any account name, regardless of the capacity in which signed. The customer acknowledge(s) that the terms and conditions on the reverse side are part of this agreement. The customer grant(s) Unique Wood Products permission to investigate/ verify credit information. Applicant and its agent(s) and guarantor(s) hereby authorize any and all banks, financial institutions, and other credit reporting agencies to furnish credit information to Unique Wood Products to be used for the purpose of extending credit to the applicant. Electronic copies of this application will be considered the original document.

Principal / Owner Legal Name *

Signature *

Date Signed *

UNCONDITIONAL PERSONAL GUARANTY

*THIS IS NOT A PERSONAL OBLIGATION; DO NOT USE CORPORATE OR OTHER ENTITY TITLES*

SOCIAL SECURITY NUMBER

Address

Address Line 1

Address Line 2

City

State

Zip Code

Personal Guarantor Terms

Signature *

I have read, understand and agree to all terms stated on this credit application *

Date Signed *

Message

Contact Information

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