Call 214-905-1001 today! Sign In Register SCAN Cart | 0 items Products Manufacturers Solutions Resources About Us Contact Us Online Credit Application Online Credit Application All fields on this form are required. RESALE OR EXEMPTION CERTIFICATE: PARRISH-HARE Electrical Supply Corporation: Purchaser hereby certifies to the Seller, that: 1. Purchaser holds a valid Permit, No. issued under the limited Sales and Use Tax Act of the State of Texas, which permit has not been revoked or suspended. 2. That the tangible personal property purchased on each unshipped order heretofor given you and on each order that we shall hereafter give you, unless such order otherwise specified, and until this notice and certification is revoked by us in writing is purchased for: Resale, leasing or renting To be incorporated as an ingredient or component part of other tangible personal property to be produced for the ultimate sale at retail by manufacturing, processing or fabricating. Other ground of exemption: (Note: Check whichever is applicable) 3. The general character of the tangible personal property sold, leased or rented by the purchaser in the regular course of business is: (Note: Please describe) 4. The undersigned purchaser further certies that he/she will assume liability for the payment of any tax that may be due under the above described Act if this is not exempt from such tax. Date Purchaser (Company Name): At: Address: By (Official Title): BUSINESS INFORMATION FIRM NAME: TRADE STYLE: STREET ADDRESS: CITY: STATE: - Select - Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming ZIPCODE: PHONE: EMAIL: PLEASE CHECK ACCORDINGLY: INDIVIDUAL PARTNERSHIP CORPORATION OTHER FED. TAX NO. (CORP): SOCIAL SECURITY #: TYPE OF BUSINESS: Architect Builder Building Maintenance Commercial Contractor Commercial & Residential Contractor Designer DataComm Engineer Government General Contractor Industrial Kitchen/Bath Property Management Remodelor Residential Contractor Other DATE STARTED: ANNUAL SALES: $ FORMER BUSINESS: LOCATION: BUILDING: OWN or RENT IF RENT, FROM WHOM: VALUE: $ REAL ESTATE MORTGAGE: $ TRADE REFERENCES ***All three are required*** NAME ADDRESS PHONE BANK INFORMATION NAME OF BANK: STREET ADDRESS: CITY: STATE: APPLICANT'S SIGNATURE ATTESTS FINANCIAL RESPONSIBILITY, ABILITY AND WILLINGNESS TO PAY OUR INVOICES IN ACCORDANCE WITH THE FOLLOWOING TERMS. I/we understand that all invoices are payable on/or before the 10th prox as shown on each invoice. If not paid on/or before due date, the account is delinquent. If credit is granted, I/we agree to the above terms and the undersigned is/are responsible for payment of this account. You may charge reasonable attorney's fees if placed with an Attorney for collection or suit. All charges on this account are due and payable at Parrish-Hare, Dallas County, Texas. The above information as well as that given on the reverse side is for the purpose of obtaining credit and is warranted to be true. I/we hereby authorize the firm to whom this application is made to investigate the references listed pertaining to my/our credit and financial reports TERMS AND CONDITIONS OF SALE AGREEMENT I/we, or either of us, request a credit account with Parrish-Hare Electrical Supply Corporation. "Terms" are "Discount allowed as stated on invoice" if paid by the 10th of the month following purchases, Net 25th of month, past due thereafter. All payments under the terms of each invoice are due and payable at 4921 Conflans Road, Irving, Dallas County, Texas. It is further agreed that each past due account shall bear interest at 1.5%per month, 18% per annum, or maximum amount allowed by law, and if this contract is placed in the hands of an attorney, the undersigned further agrees to pay all expenses, including court costs, legal and administrative expenses, and attorney fees paid or incurred by Parrish-Hare in endeavoring to collect the sums due and owing by the company, and the venue shall be Dallas, Texas. IT IS FURTHER UNDERSTOOD THAT IN THE EVENT SELLERS DEAMS HIMSELF INSECURE OR IF THE BUYER DOES NOT MAKE A PAYMENT ON A DUE DATE, SELLER HAS THE RIGHT TO ESTABLISH NOTICE ON JOBS, TERMINATE SHIPMENT OF MATERIAL, AND ACCELERATE ALL BALANCES TO BE PAID IMMEDIATELY. IN THE EVENT INVOICES ARE NOT PAID AS AGREED, BUYER AGREES THAT SELLER SHALL HAVE RIGHT OF REPOSSESSION OF ANY MATERIAL SOLD BY SELLER LOCATED ON JOB SITE(S) OR IN WAREHOUSE OF BUYER. Buyer further agrees to give Parrish-Hare notice by certified mail, return receipt requested, 30 days prior to change in ownership or incorporation. LIMITATION OF LIABILITY PARRISH-HARE ELECTRICAL SUPPLY SHALL NOT BE LIABLE IN CONTRACT, IN TORT (INCLUDING NEGLIGENCE AND STRICT LIABILITY) OR OTHERWISE FOR DAMAGE OR LOSS OF OTHER PROPERTY OR EQUIPMENT, LOSS OF PROFITS OR REVENUE, LOSS OF USE OF EQUIPMENT OR FACILITY COST OF CAPITAL, CLAIMS OF CUSTOMERS' PURCHASER, OR FOR ANY SPECIAL INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES WHATSOEVER. The remedies of purchasers set forth herein are exclusive and the liability of Parrish-Hare Electrical Supply with respect to any contract, or anything done in connection herewith such as the performance or breach thereof, or from the manufacture, sale, delivers, resale or use of any product covered or furnished under the contract whether in contract, in tort (including negligence and strict liability) or otherwise shall not exceed the price of the product on which such liability is based. The undersigned agrees that the information furnished on this credit application is true and correct and hereby authorizes Parrish-Hare Electrical Supply to investigate all information given and hold free from liability all creditors and other persons who may respond to inquiries on this application or furnished by credit reporting agencies. The undersigned agrees to and acknowledges acceptance of the terms and conditions contained herein and as stated on each invoice SIGNED ON THIS DATE: SIGNATURE: TITLE: SIGNATURE: TITLE: If a partnership - signature of partners. If a corporation - signature of authorized officer APPROVAL AND COMMENT CONTRACT OF CONTINUING GUARANTEE In consideration of Parrish-Hare Electrical Supply Corporation (herein 'Parrish-Hare'), now or hereafter extending credit to the named company on this Application (herein "the Company"), the undersigned do(es) hereby guarantee the timely payment of said amount (including service charges and/or interest, if any) as regards all sums now owing or hereafter becoming due as regards all extensions of credit which may be granted by Parrish-Hare to the Company in the future for so long as this guarantee remains in effect as hereinafter provided. This is intended as a contract of continuing guarantee and shall apply with respect to all past and future indebtedness due from the Company to Parrish-Hare without limitations as to the amount and shall at all times include the full indebtedness of the Company to Parrish-Hare. The liability of the undersigned for any unpaid balance shall not be affected by the compromise, settlement, extension of credit, or variation of terms affected by any such compromise or settlement with the Company and Parrish-Hare, nor shall it be necessary for Parrish-Hare TO PROCURE THE CONSENT OF THE UNDERSIGNED OR GIVE ANY NOTICE IN REFERENCE THERETO. Regardless of the Corporate title of the undersigned, this contract of continuing guarantee shall be construed such that if credit is extended, the undersigned does hereby guarantee, agree to, and acknowledge acceptance of all terms and conditions as stated in this contract of continuing guarantee. THE UNDERSIGNED WAIVES NOTICE OF ACCEPTANCE OF THIS GUARANTEE, NOTICE FOR NON-PAYMENT AND/or non-performance notice of the amount of indebtedness outstanding at any time and notice of any demand and/or collection proceedings against the Company. Parrish-Hare shall, therefore, have the right to proceed against the undersigned at any time without any notice whatsoever and without proceedings or action against the Company. This guarantee is to remain in full force and effect until written notice of the withdrawal of the same has been served by the undersigned upon Parrish-Hare at its office at 4921 Conflans Road, Irving, Dallas County, Texas, by United states Registered Mail, return receipt demanded, or by written notice of withdrawal personally served on the manager of such office provided, further, that such withdrawal in no event be effective as to new transactions until five (5) days subsequent to the actual receipt of such notice. The undersigned further agrees to pay all expenses, including court costs, legal and administrative expenses, and attorney fees paid for or incurred by Parrish-Hare in endeavoring to collect the sums due and owing by the Company or in connection with the enforcement of this guarantee. Venue of any legal action or proceeding in connection with this agreement shall be Dallas County, Texas. The obligation of all parties signing this guarantee, where more than one sign, shall be joint and several. The benefits and obligations hereof shall extend to and bind the heirs, administrator, successors, and assigns of the respective parties hereto. The guarantee and performance thereunder shall be construed and determined according to the laws of the State of Texas. DATE: NAME: STREET ADDRESS: CITY: STATE: - Select - Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming ZIPCODE: NAME: STREET ADDRESS: CITY: STATE: - Select - Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming ZIPCODE: By checking this box and clicking Submit Application, below, I certify that I have read, fully understand and accept all the terms of the foregoing Application Statement, and have read and agree to all the terms and conditions of sale: Products Builders Products Conduit & Raceways Conduit Accessories Data/telecom Equipment Distribution Equipment Lighting Line Construction Materials Wire, Cords, & Cables Wiring Devices Miscellaneous Resources Line Card Wire Pulling Solutions Trailer FAQs Downloads Catalogs Credit Application Privacy Policy About Us Locations News Careers Contact Us Irving 4921 Conflans Road Irving, TX 75061 214-905-1001 Fort Worth 100 S. 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