NET-30

NET-30 Application

    Purchasing Contact*

    Purchasing Contact Title*

    Company Name*

    Company Description*

    Email*

    Contact Phone*

    Company Phone Number*

    Company Address*

    City/State/Zip*

    Billing Address*

    City/State/Zip*

    Bank Name*

    Bank Phone*

    Bank Address*

    City/State/Zip*



    Business Classification*
    IndividualPartnershipCorporationGovernmentProprietorshipLimited Liability Company



    Reselling Product* (If yes—please provide tax reselling documentation to DREAMAGAIN@OCEANANDSEA.COM
    YesNo



    Business Credit References (please provide at least two businesses, including phone and contact name):



    I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT.