Open an Account

BUSINESS INFORMATION

Business Name:*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Website

Email*

Federal Tax ID/VAT #*

DBA: (if any)

Is Merchandise for Resale:*

Yes

If applicable, please provide copy of resell or tax exemption certificate

Resale #

Resell or tax exemption certificate

Max. file size: 256 MB.

Type of business:*

Years in business:*

Are purchase orders used:*

Yes

Accounts Payable Contact:*

A/P Email:*

Alternate A/P Email:

A/P Phone #*

Agent/Authorized purchaser:

Agent/Authorized purchaser email:

President:*

President Email*

Controller:*

Controller Email*

Are you applying for credit?*

Yes

No, Customer request to stay on prepayment

CREDIT INFORMATION (To be completed when Applying for Credit)

Credit Limit Requested: $*

Terms Requested (Net 30 standard)*

BUSINESS TRADE REFERENCES

Please provide information of at least three companies please no Fuel, Insurance, or leasing companies

Business Name 1:*

Business Address 1*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Are you affiliated with this company?*

Yes

Net Terms*

Credit Limit: $*

Business Name 2:*

Business Address 2*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Are you affiliated with this company?*

Yes

Net Terms*

Credit Limit: $*

Business Name 3:*

Business Address 3*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Are you affiliated with this company?*

Yes

Net Terms*

Credit Limit: $*

CREDIT TERMS AGREEMENT

First transaction must be Prepaid to establish Terms. Then All Invoices are to be paid per Invoice Terms.

By submitting this application, you authorize Nampa Valley Helicopters, Inc. to make inquiries into the banking and business trade references that you have supplied.

Accounts not paid within payment terms shall be subject to interest at the rate of 12% APR.

In the event any third parties are employed to collect any outstanding monies owed by the said business the undersigned agrees to pay NVH reasonable cost, including attorney, fees, whether litigation has commenced, and all costs of litigation incurred. The undersigned represents that he/she has the authority to execute this credit agreement on behalf of the business identified and acknowledges and agrees to the terms set forth in the Nampa Valley Helicopters Component General Sales Conditions Agreement.

SHIPPING

Preferred Shipping Method

Specify Other Shipping Carrier

Shipping Account Number

This field is hidden when viewing the form

BUSINESS INFORMATION

CREDIT INFORMATION (To be completed when Applying for Credit)

BUSINESS TRADE REFERENCES

CREDIT TERMS AGREEMENT

SHIPPING

Nampa Valley Helicopters

Certificates

Services and Sales

Exchange and Rental Programs

Careers