Become a Dealer for NDY Manufacturing New Wholesale Customer Information FormCustomer InformationCompany Name:*Company Name:*Email: ** Phone*Customer Billing Information APCompany Name:*Phone*AP Email: ** Address* Address Line 2 City State / Province / Region ZIP / Postal Code Customer Shipping InformationUntitled*Address* Address Line 2 City State / Province / Region ZIP / Postal Code Consent By signing below, I certify all information is true and correct to the best of my knowledge and I accept the credit terms listed above. TERMS: 30 DAYS - A 1.5% Service Charge per month (18% ANNUAL RATE) on account balances 30 days past statement dateSignature*Date:* MM slash DD slash YYYY