CUSTOMER INFORMATION

CONTACT NAME(Required)
PHYSICAL ADDRESS(Required)
BILLING ADDRESS(Required)
SHIP TO ADDRESS(Required)

ACCOUNTS PAYABLE:

Max. file size: 50 MB.

Max. file size: 50 MB.

REFERENCES

**PLEASE PROVIDE THREE (3) CREDIT REFERENCES: THESE ARE REQUIRED TO BE BUSINESS ACCOUNTS WITH WHOM YOU HAVE CONDUCTED BUSINESS IN THE LAST 6 MONTHS.

TERMS AND CONDITIONS

Medley default net terms are net10 days, which we will extend terms upon credit approval. If any invoices should fall past due, we understand that there will be late fees and service charges applied that we will be responsible for. A $25.00 fee is charged on all return checks. Any service or billing issues should be sent to Medley Material Handling Company within 30 days of the original invoice date. We understand that all property and material belonging to Medley Material Handling Company remains. We authorize the vendors to release the necessary credit information to Medley Material Handling Company. I agree to the above terms:
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