Credit Application

LAMATEK, Inc. Contact Information
Thank You for Choosing LAMATEK!
For Quotes and Orders:
Fenestration Department
Janine Clauss
Fenestration Sales Mgr
Katherine Harrison
Fenestration Customer Service
[email protected]
856 599 6000 ext. 117
[email protected]
856 599 6000 ext. 126
Quality Assurance Department
Terri Chicosky
Quality Manager
[email protected]
856 599 6000 ext. 113
Accounting Department
Patrick Rindt
Credit & AR
Monique Woods
Accounting Manager
Christine Ronkin, CPA
Controller
[email protected]
856 599 6000 ext. 105
Contact for:
Credit Applications and Billing Issues
[email protected]
856 599 6000 ext. 124
Contact for:
EFT/ Wires
[email protected]
856 599 6000 ext. 103
Contact for:
Final Collection and Credit Issues
Thank you for choosing LAMATEK! Here is a checklist of what is needed to get you set up: Please provide:  IRS Form W‐9  Sales Tax Exempt Certificate (if applicable) Select billing preference:  E‐invoice ______________________________________________________ Backup email_________________________________________________________  Fax __________________________________________________________  Mail _________________________________________________________ _____________________________________________________________
_____________________________________________________________ Choose Terms for Credit:  Credit Card (No references)  Cash in Advance (Order entered when funds are received by LAMATEK)  Net 30 (Credit Application needed) Select Payment Option:  Mail in Check  Credit Card (Credit Card terms only)  Bank ACH (no customer fee)  Bank Wire (customer fee) Please make all checks payable (in US Funds only) to: LAMATEK Inc. 1226 Forest Parkway West Deptford, NJ 08066‐1728 Options for Credit Terms: Credit Card: Immediate approval –
no references needed. Credit card is authorized, but not charged until order is shipped.  Fill out Credit Card Form and sign; then select Option 1 on form. Cash in Advance: Approval when remittance is received by LAMATEK – no references necessary. Order is processed when funds are received.  Send funds to LAMATEK per payment options below. Payment is due within 30 days of shipment per payment options below.  Complete Credit Application and fax or email to LAMATEK. Net 30: References and credit application required ‐ Approval process is generally 3‐5 days depending on response time from customer’s references.
Payment Options: Check payable to: LAMATEK, Inc
1226 Forest Parkway West Deptford, NJ 08066‐1728 Bank Wire (customer fee): Bank ACH (no customer fee): Bank of America Bank of America 22 W. Marlton Pike Cherry Hill, NJ 08002 ABA# 021200339 Account #9403937421 FBO: LAMATEK, Inc 1226 Forest Parkway West Deptford, NJ 08066‐1728 22 W. Marlton Pike Cherry Hill, NJ 08002 ABA# 026009593 Account #9403937421 FBO: LAMATEK, Inc 1226 Forest Parkway West Deptford, NJ 08066‐1728 FOR OFFICE USE ONLY
Customer # _______________
Order # __________________
Credit Card Form
Please complete the required information and email ([email protected]) or fax back to 856-599-6010
Billing Information
Invoice Method
Company Name ______________________________________
E-mail _________________________
Billing Contact ________________________________________
Backup ________________________
Address _____________________________________________
Fax ___________________________
City/State/Zip _________________________________________
Mail ___________________________
Phone _______________________________________________
______________________________
E-mail _______________________________________________
______________________________
Fax _________________________________________________
Item #
Description
QTY
OFFICE USE ONLY
Base Price
Total
Shipping Amt.
ORDER TOTAL:
Credit Card #
Name on Card _________________________________________________________________________
Expiration Date (MM/YY) __________ / __________
CSU Code _____________________________
Signature
SHIPPING Information
Date ___________________
same as billing
(if different than billing address)
Company Name ___________________________________
Contact Person ___________________________________
Address _________________________________________
City/State/Zip _____________________________________
Phone ___________________________________________
Email ____________________________________________
SHIPPING METHOD
Standard Ground
 3-Day
 2-Day
 Next Day
 Next Day A.M.
 Ship via UPS Acct. #________________
CONFIDENTIAL CREDIT APPLICATION
Customer Information
Company Name:
Federal Tax ID #
Date:
Billing Address:
Billing City/State/Zip:
State and Year of Incorporation:
Billing Contact Name:
Billing Telephone:
Billing Fax:
Billing E-mail:
Credit Line Requested
Type of Organization: Corporation
Limited Liability Company

IRS Form W-9 attached

Sales Tax Exempt Cert. Attached
Partnership
Sole Proprietorship

Not Tax Exempt
List Trade References Below (or attach your own reference sheet)
Name
Name
Address
Address
City/State/Zip
City/State/Zip
Fax #
Fax #
Phone #
Phone #
Contact E-mail
Contact E-mail
Name
Name
Address
Address
City/State/Zip
City/State/Zip
Fax#
Fax#
Phone #
Phone #
Contact E-mail
Contact E-mail
LAMATEK, Inc.
1226 Forest Parkway, West Deptford, NJ 08066-1728 – Tel: (856)599-6000 / Fax: (856) 599-6010
Bank Reference
(use additional pages if necessary)
Name of Financial Institution:
Address:
City/State/Zip:
Fax #
Phone #
Contact E-mail
Checking Account #
Saving Account #
Loan Account #
Filed bankruptcy in the last 3 years?
If yes, when and where?
Yes
Any litigation pending against Applicant?
Yes
If yes, attach additional page (s) and describe.
No
No
CREDIT POLICY:
Payment terms are net thirty (30) days from date of invoice, unless otherwise stated. All payments must be in US Funds.
Delinquent accounts that remain unpaid beyond sixty (60) days will be placed on “Credit Hold”. While an account is on Credit
Hold, no orders will be shipped until past due invoices are remedied. Accounts consistently on Credit Hold or over sixty (60)
days old will be placed on permanent cash in advance or Credit Card.
AGREEMENT:
The undersigned, being a duly authorized representative of the company named above does hereby make application to
LAMATEK, Inc. for credit. We warrant the information shown above to be true and complete. We authorize LAMATEK, Inc. to
investigate references herein, statements, or other data obtained from us or from any other person pertaining to our credit and
financial responsibility. We agree to honor the payment terms as stated in the above Credit Policy and guarantee to pay all
amounts when due. We agree to notify LAMATEK, Inc. of any allegedly defective product received from LAMATEK, Inc. and of
any discrepancy with any invoice within 30 days of receipt and that the failure to notify LAMATEK, Inc. of any such defect or
discrepancy within the 30 day period waives any and all rights to raise such defect or discrepancy at a later date. It is further
agreed that in the event of such suit or action, same shall take place in Gloucester County, New Jersey and that New
Jersey laws shall govern all collection activity.
*Signature
Printed Name
*Title
*Required.
Return to:
________
Date
LAMATEK Credit Dept.
Fax: 856-599-6010
Email: [email protected]
Please provide your company’s IRS Form W-9 and Sales Tax Exempt Use Certificate with this application.
LAMATEK, Inc.
1226 Forest Parkway, West Deptford, NJ 08066-1728 – Tel: (856)599-6000 / Fax: (856) 599-6010
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