Dealer Application

 
 
 

ORDER TERMS AND CONDITIONS

A service charge of 1.5% per month, which is an annual percentage rate of 18%, will be assessed on all invoices not paid within 30 days of that invoice. There will be a $30.00 charge for NSF checks returned. Purchaser agrees to pay any expenses, including court costs, attorney fees, accrued interest and other costs, incurred by G.T. Luscombe Company, Inc. in collecting any amounts due. By signing with an Electronic Signature, you are accepting these terms and conditions.

***Dealers are not authorized to promote, market, advertise, offer to sell or sell any product on or through any online marketplace or auction service (e.g., Amazon marketplace, Ebay or like websites).***

 
 
Phone *
Phone
Ship to Address *
Ship to Address
Bill To Same as Ship To? *
Bill to Address
Bill to Address
Accounts Payable *
Accounts Payable
Phone *
Phone
Purchasing *
Purchasing
Phone *
Phone
Has your company or any of its Principals ever filed for bankruptcy? *
Name of 3 suppliers of major products and services (Company name, Account#, Address, Phone, Fax)
Terms and Conditions *
By clicking the check box you are indicating that you have read and agree to GTL's Terms and Conditions.
Today's Date *
Today's Date
In order for your application to be accepted please email a copy of your business license & proof of exemption to info@gtluscombe.com. In the email subject please reference your company name and "Dealer Application".
 
 

**Disclaimer**

Dealers are not authorized to promote, market, advertise, offer to sell or sell any GTL products on or through any online marketplace or auction service (e.g., Amazon marketplace, Ebay or like websites), without prior written consent from G.T. Luscombe Company, Inc. By signing this above agreement you agree to these terms.