Establish an Account

DEALER APPLICATION AND SALES AGREEMENT (No Internet Accounts)




The following statement to be submitted is made by the applicant for the purpose of obtaining merchandise from Dragon Distributing on credit, and Dragon Distributing should rely on all information as correct. Applicant authorizes Dragon Distributing to contact any references given and inquire of them about credit history. Upon the approval of this application, applicant agrees to abide by the terms and conditions of sale. Applicant further agrees to notify Dragon Distributing within five days of any changes of ownership, address, telephone, authorized purchasing agent(s), banks, transfer of listed assets, or other facts set forth below.

Please read the Dealer Qualification and Terms before submitting.
If you are applying for an Open Account you will also need to fill out the Application for Credit Privileges.

Click HERE to download Missouri Sales/Use Tax Exemption Certificate and submit by mail or by fax.
If you prefer, you may download all forms and submit by mail or by fax by clicking HERE.


Please select an option below that best suits your needs.

COD - Customer Check Acceptable on Delivery - list two references and full bank info (see below)
OPEN ACCOUNT


***A billing representative from Dragon Distributing will contact you after an application is submitted to get details of the physical Credit Card to be put on file for future billings as well as other personal information to complete the application process.***







Signature of Card Holder (Cannot be typed or printed)
* By signing below, I am legally binded to this contract. *



GENERAL INFORMATION


















Organization Category (select option below):









BANK REFERENCE - Must be completed, signed and be a business account in the business name.






Bank Credit Line: Secured    YesNo

Personal Guaranty:    YesNo


I, (print name below)

authorize my bank to release any necessary information to Dragon Distributing for their confidential use in processing my application for check approval.



APPLICATION FOR CREDIT PRIVILEGES

NOTE: in order to be checked for credit, a $500 order must accompany this dealer application, or a cumulative total of $500 must have been purchased in the last 60 days.


TRADE REFERENCES:

NOTE: (Your credit limit with trade references should be at least as high as you are requesting from Dragon Distributing). A minimum of four (4) references are required.


Reference 1:





Reference 2:





Reference 3:





Reference 4:






CREDIT REQUIREMENTS: - IMPORTANT - Please answer the following questions:

Would you be willing to sign a Personal Guaranty?    YesNo

IF YOU REQUEST A CREDIT LINE LARGER THAN $3,500 PLEASE SEND A CURRENT FINANCIAL STATEMENT.

The undersigned hereby certifies that above information is true and current, and in addition to the foregoing, the undersigned promises to pay for all purchases in accordance with Dragon Distributing's terms of sale If at any time the undersigned is unable to pay for said purchases when due, the undersigned agrees to pay, and authorizes Dragon Distributing to bill my account with interest computed at 2% per month (24% annum) on any past due amount or the maximum prevailing rate allowable under the law of state governing the transactions contemplated by this credit application. If it becomes necessary for Dragon Distributing to incur collection costs for any amount due under this agreement, the undersigned promises to pay additional collection costs including reasonable attorney fees. Upon acceptance by Dragon Distributing, this application will constitute a sales and purchase agreement.

Electronic or Facsimile transmission of signature shall be enforceable against party signing.


Signature [Owner, Officer or Authorized Agent] (Cannot be typed or printed)
* By signing below, I am legally binded to this contract. *