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Account Application

Please complete ALL of the information below, incomplete information will only delay the application process. This information will be sent via email to Keeton's and any additional information needed to compete the account setup will be obtained via phone or email after this application is received. This process is not instantaneous, so please allow enough time for the application to be received and processed. Thank you.

Billing Information:

Company Name
       
Address
       
Address (continued)
 
City
 
State
 
Zip Code
 
Phone
 
Fax
 

Delivery Address Same as Billing Address

Delivery Information:

Company Name (if different)
       
Address
       
Address (continued)
       
City
       
State
       
Zip Code
       
Phone
       
Fax
       

County of Delivery Address
       
 
Sales Tax Rate % (of delivery address)
  %
       
Tax Exempt?
No Yes
       
PO Required?
No Yes
       
 
Average
 
       
Accounting Contact Name
 
Accounting Contact Email
 
Purchasing Contact Name
       
Purchasing Contact Email
       
 
Method of Receiving Statements: eStatements/email: or By Mail
 

Special Delivery Instructions


Person(s) Allowed to Order on this Account (more can be added)

  Name: Email Phone
 
  Name: Email Phone
 
  Name: Email Phone
 

Additional Comments:


Select Account Payment Type:

Open Credit Charge Terms and Conditions: Keeton’s Office Supply Co., Inc. (“Keeton’s”) requires this form to be completed to establish an “open credit” charge account. The credit limit is based on your monthly purchase amount and your payment history. The undersigned (“Customer”) certifies that everything in this application is true, complete and hereby agrees to all terms and conditions of this agreement. Customer certifies that he/she has the power to make, deliver, and perform under this Agreement, and that the undersigned Customer is duly authorized to enter into this Agreement for and on behalf of Customer. Payment Terms: Customers with an “open credit” charge account with Keeton’s will have terms of: Net due on 10th of month following previous month’s purchase. A statement will be produced at the beginning of each new month and delivered to you based on your method of how you chose to receive statements. See Above. Past due amounts are subject to a late payment service charge of 1.5% per month, which is an annual rate of 18%. If credit is extended, Customer agrees to pay all debts incurred within the terms of sale. Should the debt become past due, Customer expressly agrees to pay service fees outlined in this agreement or the maximum permitted under applicable state law. Customer further expressly agrees to pay collection costs and attorney fees incurred in connection with the collection of this account. Changes: Applicant agrees to send Keeton’s written notice of any future changes made in regards to the information on this application. New ownership requires a new Account Application form to be completed.
 

Credit Card Terms and Conditions: Customer agrees to pay all charges according to credit card issuer agreement and to keep credit card information current if on file with Keeton’s Office Supply Co., Inc.

For security reasons, please DO NOT provide your credit card information anywhere on this application. A Keeton's representative will contact you after this application is received. Thank you.



Email webmaster with questions or comments about this website. Copyright © 2001-2017 Keeton's Office Supply Co., Inc.
Corporate Office: 817 Manatee Ave. W Bradenton, FL, 34205, United States
Phone: 1.800.833.4735   Fax: 1.800.833.4786
Normal Business Hours: Mon-Fri 8am to 5pm, Retail Store and Showroom also open Sat 9am to 1pm, Closed Sunday and most major holidays.