Match-Up New Client Application

Business Information
Billing Address
Purchasing Contact
Accounting Department Contact
Invoicing
Same as the Accounting Department Contact email above
Or by Alternate Email:
Same as the Billing Address above
Or by Alternate Address:
Tax-Exempt
My organization has a tax-exempt status
Please choose one of the following methods to submit your organization's Tax-Exempt Certificate:
Payment Options
Credit References
Please choose one of the following methods of submitting your organization's credit references:
Please ensure that the following information is included for each of the 3 references:
  • Name of Creditor
  • Contact Person
  • Address of Creditor
  • Phone Number
  • Email Address
  • Account Number
  • Date Account Opened
  • Credit Limit
Trade References
Reference 1
$ .00
Reference 2
$ .00
Reference 3
$ .00
TERMS AND CONDITIONS

The preceding information is for the purpose of obtaining credit and is warranted to be true. I/We hereby authorize Match-Up to investigate all references and customary credit information sources including consumer credit reporting repositories regarding my/our credit and financial responsibility for the purpose of obtaining credit and for periodic review for the purpose of maintaining the credit relationship.

CREDIT TERMS: All invoices are due NET 30 unless mutually agreed upon prior to invoice date. A service charge of one and one half percent (1 ½% per month), or (18% per annum) or the highest legal rate, whichever is less may be assessed on delinquent invoices. Credit terms may be revoked/amended at the sole discretion of Match-Up if delinquent payment occurs.

CHANGE OF OWNERSHIP: I/We understand that we must notify Match-Up in writing and by certified mail of any change in ownership, the name of the business or structure of the business under which credit is established.

In the event of default, and if this account is turned over to an agency and/or an attorney for collection, the undersigned agrees to pay all reasonable attorney fees, and/or costs of collection whether or not suit is filed.

I/We certify that this request is for the extension of credit for business purposes only and not for the extension of credit for personal, family or household purposes.

BY CHECKING THE BOX BELOW, THE APPLICANT SIGNIFIES AGREEMENT TO THESE TERMS AND CONDITIONS AND ATTESTS FINANCIAL RESPONSIBILITY, ABILITY AND WILLINGNESS TO PAY IN ACCORDANCE WITH THE ABOVE TERMS

I agree to the Terms and Conditions