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VIRIPRO SERVICES
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ABOUT
Viribright® is a lighting brand specializing in advanced, energy-efficient LED bulbs for residential and commercial applications.
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CONSUMER
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Legal Business Name (dba if applicable)
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Number Business &
Federal Tax (EIN) #:
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D&B #:
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dun&bradstreet
Owner | Officer Name:
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First
Last
Type of Ownership
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— Select Choice —
Corporation
Limited Liability Company
Partnership
Business Type
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Let us know if you are a Retailer / Commercial / Distributor / Etc.
Phone Number
Email Address
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Full Address
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Example: 123 Lighting ln. Springfield, CO 99555
Company Website
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Estimated Annual Purchases
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— Select Choice —
Less than $10,000
$10,000 – $25,000
$25,000 – $50,000
Business / Supplier Reference #1
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Business Name | Contact | Email | Phone:
Business / Supplier Reference #2
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Business Name | Contact | Email | Phone:
Terms & Conditions:
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I hereby affirm my agreement to the terms outlined below in connection with this credit application.
Applicant agrees to pay for all purchases from Viribright® Lighting, Inc. in accordance with the credit terms as follows: 1. Terms are Net 30, due 30 days after date of invoice.2. Payments are to be made by Check, ACH, or Wires only. Other methods outside of Check, ACH, and Wires are not accepted . 3. Applicant agrees to be responsible for payment of all purchases made by the applicant and the applicant’s employees. In the event payment is not timely made, interest will accrue at the highest rate allowed by law on all past due amounts. Applicant also agrees to pay all costs and expenses associated with collection of the account, including but not limited to reasonable attorney’s fees in the event the account is placed with an attorney for collection or suit. Applicant agrees to pay all amounts due and owing for purchases to Viribright® Lighting Inc. Rialto, CA. Applicant agrees to submit a signed application that shall be retained on record.
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