Your name ___________________________________________________
Company _____________________________________________________
Street Address ______________________________________________
City / State ________________________ Country
_______________
Phone # ______________________ Zip/Postal code
______________
E-mail _____________________ Web site _______________________
Please check off the products you are interested
in carrying:
click on the links to see the product descriptions
[ ] Fleetrak Vehicle
Tracking System
[ ] GPS / AVL Plug 'n Play
Vehicle Tracking System
[ ] TRAX Microcontrollers
CREDIT REFERENCES
Please provide four credit references - people
or
companies you do business with
Name _________________________________________________
Company ______________________________________________
Address_______________________________________________
City, State ________________________ ZIP _____________
Phone number _________________________________________
Your relationship ____________________________________
Name _________________________________________________
Company ______________________________________________
Address_______________________________________________
City, State ________________________ ZIP _____________
Phone number _________________________________________
Your relationship ____________________________________
Name _________________________________________________
Company ______________________________________________
Address_______________________________________________
City, State ________________________ ZIP _____________
Phone number _________________________________________
Your relationship ____________________________________
Name _________________________________________________
Company ______________________________________________
Address_______________________________________________
City, State ________________________ ZIP _____________
Phone number _________________________________________
Your relationship ____________________________________
BANK REFERENCES
Name of Bank __________________________________________
Account # _____________________________________________
Address _______________________________________________
City, State ___________________________________________
Postal / Zip ___________________Country _______________
Phone # _____________________
Name of Bank __________________________________________
Account # _____________________________________________
Address _______________________________________________
City, State ___________________________________________
Postal / Zip ___________________Country _______________
Phone # _____________________
Fleetrak Inc.agrees to keep all information disclosed on this form confidential. The applicant agrees and understands that information provided here is for the protection of Fleetrak Inc., and will be used for no other purpose other than for checking credit references. Fleetrak reserves the right at it's discretion, to require payment in full before merchandise is shipped to the dealer until credit is established and a business relationship with the applicant is in good standing.
Dealerships require a minimum order of $ 10,000 for combined merchandise. For the first six months of dealership, merchandise shall be paid for in advance by credit card, cashier's check, money order, or bank wire transfer. After six months of business relationship in good standing is established, Fleetrak may, at its discretion, elect to offer net 30 arrangements, and purchases conducted with purchase orders. These requirements and restrictions may be waived at the sole discretion of Fleetrak Inc., upon review of this application.
Furthermore, Fleetrak Inc. reserves the right to terminate without
notice, any business relationship or dealership contract for any of the
following reasons:
a) Non-payment or habitual late payment of invoices or NET 30 orders
on P.O.'s.
b) Conduct on part of the dealer which damages or threatens to
damage the good reputation of Fleetrak Inc.
c) Violation or non-compliance with any attached written agreements,
contracts, or verbal agreements.
d) Association of Fleetrak's products, trademarks, or name with
any business which promotes violence, bigotry, anti-semitism, or deviant
sexual behavior, or in a place of business or on a web site which
engages in, promotes, or links to businesses or web sites which engage
in or promote any of the afore-mentioned activities.
___________________________________________________ date: _________/__________/_____________
Your signature
___________________________________________________ date: _________/__________/_____________
For Fleetrak Inc.