Create a Wholesale Account

Business Affiliation

• *Business / Organization Name:

• Website URL *

  Job Title *

Additional Business Information

• Federal Tax ID Number (If Applicable)

  State Tax Exempt Number (If Applicable)
  Type of Business *

  Corporation

  Partnership

  Proprietorship

  Limited Liability Corporation

  Other

  Business Type: *

  Type of Organization *

  Climbing Gym

  University/School

  Camp

  Recreation Center

  Fitness Center

  Retailer

  Other

  Organization Type: *

  Description of Business (limit 500 characters)*

  Are you a CWA Member? *

  Yes

  No

  CWA Member #: *

• Net 30 Payment Application

  Disclaimer: Nicros, Inc. requires full payment prior to shipping EasyWall^™, GranitPanel^™ and Playground Boulders. Net 30 terms do not apply. Upon receipt and verification of funds, these products will be shipped.

  Owner(s)/Officer(s)

  owner 1

  Full Name *

  Title *

  Phone *

  Email *

  Add additional Owner(s)/Officer(s)

  Accounts Payable Contact(s)

  accounts 1

  Full Name *

  Title *

  Phone *

  Email *

  Add additional Accounts Payable Contact(s)

  Primary Authorized Buyers

  buyers 1

  Full Name *

  Title *

  Phone *

  Email *

  Add additional Authorized Buyer(s)
  Are Purchase Orders Required *

  No Yes

  Credit References

  IMPORTANT NOTICE:

  We require five credit references from active accounts – climbing vendors are preferred. Incomplete applications will not be processed.

  Note: Credit cards, utilities and COD accounts do not qualify as credit references. Checking credit references may take 10 or more business days depending on the response time of vendors.

  Credit Reference 1

  Business *

  Account Number *

  Phone *

  Fax *

  Email *

  Confirm Email *

  Address *

  City *

  State/Province/Region *

  ZIP/Postal Code *

  Country *

  Credit Reference 2

  Business *

  Account Number *

  Phone *

  Fax *

  Email *

  Confirm Email *

  Address *

  City *

  State/Province/Region *

  ZIP/Postal Code *

  Country *

  Credit Reference 3

  Business *

  Account Number *

  Phone *

  Fax *

  Email *

  Confirm Email *

  Address *

  City *

  State/Province/Region *

  ZIP/Postal Code *

  Country *

  Credit Reference 4

  Business *

  Account Number *

  Phone *

  Fax *

  Email *

  Confirm Email *

  Address *

  City *

  State/Province/Region *

  ZIP/Postal Code *

  Country *

  Credit Reference 5

  Business *

  Account Number *

  Phone *

  Fax *

  Email *

  Confirm Email *

  Address *

  City *

  State/Province/Region *

  ZIP/Postal Code *

  Country *

  Agreement

  THIS AGREEMENT was made and entered into as of Wednesday, September 23rd, 2020 by and between Nicros, Inc., a Minnesota corporation ("Nicros", "PM Climbing Systems"), and [Company/Organization], a Please select region, state or province [Type of Business] (the "Customer").

  Whereas, the Customer desires to purchase certain goods from Nicros, Inc. on the credit terms set forth herein (the "Open Account"); and

  Whereas, Nicros, Inc. is willing to sell goods to the customer upon the Open Account terms contained in this writing (this "agreement");

  NOW, THEREFORE, in consideration of the mutual covenants set forth below, the parties hereby agree as follows:

  (1) Open Account

  Subject to the provisions in this Agreement, Nicros, Inc. hereby extends credit to the Customer for the purpose of purchasing goods from Nicros, Inc. The amount of credit shall be determined by Nicros, Inc. from time to time in its sole discretion. The payment terms shall be Net 30 days from the date of Nicros, Inc. invoice. Please contact Nicros/PM Climbing Systems to increase credit limit subject to approval.

  (2) Conditions

  Nicros, Inc. reserves the right, from time to time, to take the following actions in its sole discretion:

  A. Right to Alter Terms.

  Nicros, Inc. may alter the Open Account credit terms at any time, and for any reason, but only with respect to the unused portion of the Open Account. Nicros, Inc. shall give the Customer prior written or oral notice of any such decision in this regard.

  B. Right to Revoke.

  Nicros, Inc. may also revoke the Open Account credit at any time, and for any reason, but only with respect to the unused portion of the Open Account. Nicros, Inc. shall give the Customer prior written or oral notice of any such decision in this regard.

  (3) General Terms and Conditions

  The General Terms and Conditions are incorporated herein by reference and made a part of this Agreement. The parties have read these General Terms and Conditions and agree to the incorporation into this Agreement of each of them.

  (4) Signature Authority

  Each person signing below represents that (1) he or she has full authority to execute the Agreement on behalf of the party for which he or she has signed; and (2) the Agreement shall be a binding obligation of such party as soon as the Agreement is so executed by him or her.

  IN WITNESS WHEREOF, the undersigned have hereunto set their hands as of the day and year first written above.

  First Name *

  Last Name *

  eSignature (Please enter your full name) *

  Date *