Please send or fax this form to: Horse Amour, 804 Eaton Hill East, Castleton, VT 05735
Fax: 802-468-2151
Name of Store/Catalog:______________________________# years in business:______
Telephone#:__________________________Fax#:__________________________
Delivery address:_______________________________________________________
Billing address:_________________________________________________________
Federal ID#:__________________________State Tax Resale#:__________________
Name of purchaser/contact person:_________________________________________
web address:______________________________email:________________________
I certify that the above information is correct. I understand that overdue accounts will be assessed a $5.00 fee for every 30 days beyond the 30-day-net period.
Signature of Purchaser:________________________________Date:_______________
Approved accounts will be net 30 days. Thankyou.