C.O.D. ACCOUNT APPLICATION

• Company Name *

• Street Address *

• City, State, ZIP *

• Contact Info

• Contact *

• Contact Title

• Store Phone *

• Cell Phone

• Fax

• Business Info

• Fed Tax ID *

• Type / Business

• Years in Business

• References

• Name

• Phone

• Name

• Phone

  I hereby authorize any organization listed on this credit application to disclose credit information relating to the above named account. In consideration of the sale of merchandise and granting credit to the business, the undersigned individually and collectively guarantees payment to Jolin for all sales and invoices sold and delivered.

*MUST BE COMPLETED BEFORE ORDER IS SHIPPED.

**ALL DELIVERIES MUST BE PAID C.O.D.**