Thank you for selecting Newton Instrument Company, Inc. as one of your sources of supply. Receipt of this completed credit application is necessary in order to initiate our credit check, so please review it carefully to include all requested information. In addition, please sign the application, customer freight options and customer return policy attachments.

The application has seven (7) sections: 1 general information, 2 bank references, 3 trade references, 4 misc information, 5 Terms and Conditions, 6 Customer Return Policy, and 7 Customer Freight Options.  Each document must be signed by an officer of the company and dated. 

These forms WILL NOT be submitted to Newton Instrument via the Internet. NO information will be saved by Newton electronically. After filling out the form, please print it to your printer and sign the document. Fax the signed credit application and attachments to Newton Instrument Company at 919-575-4708.  NOTE: Those fields marked with an * are required.

Do you wish to make your credit application printable:  

#1.

GENERAL INFORMATION
OWNERSHIP * INVOICE CONTACT PERSON *
ACTION * PHONE NUMBER * - -   EXT 
INDUSTRY CLASSIFICATION * FAX NUMBER - -
NAME OF FIRM * PARENT COMPANY
STREET ADDRESS * STREET ADDRESS
CITY * CITY
STATE * STATE
ZIP CODE * ZIP CODE
PHONE NUMBER * - -    EXT  PHONE NUMBER - -   EXT 
FAX NUMBER - - FAX NUMBER - -
NAME OF OFFICER #1
DESCRIPTION OF BUSINESS * TITLE
NAME OF OFFICER #2
SSAN NUMBER * TITLE
FEIN NUMBER * NAME OF OFFICER #3
RESALE NUMBER TITLE
HOW LONG IN BUSINESS * YRS
D & B NUMBER * CREDIT LINE REQUEST * DOLLARS
D&B RATING *
top
#2.

BANK REFERENCES  
ACCOUNT #1 TYPE *
NAME *
ADDRESS *
CONTACT *
PHONE NUMBER * - -    EXT 
ACCOUNT #2 TYPE
NAME
ADDRESS
CONTACT
PHONE NUMBER - -    EXT 
top
#3.

TRADE REFERENCES
NAME #1 *
ADDRESS *
CONTACT *
PHONE NUMBER * - -    EXT 
NAME #2
ADDRESS
CONTACT
PHONE NUMBER - -    EXT 
top
#4.

MISC INFORMATION
HAS THIS COMPANY BEEN INVOLVED IN ANY BANKRUPTCY PROCEEDINGS? *
HAVE ANY PRINCIPALS OF THIS COMPANY BEEN INVOLVED IN BANKRUPTCY PROCEEDINGS UNDER THE NAME OF ANY OTHER COMPANY? *
ARE THERE OPEN LAWSUITS FOR NONPAYMENT OF ANY OBLIGATIONS, OR ARE THERE UNSATISFIED MECHANICS OR TAX LIENS? *
HAVE ANY PRINCIPALS OF THIS COMPANY CONDUCTED BUSINESS WITH NEWTON INSTRUMENT COMPANY UNDER ANY OTHER NAME? *
top
#5.

TERMS AND CONDITIONS
All applications approved for credit are governed by the following:
1. Payments will be made in accordance with the terms so stated on each invoice. Our payment terms are 'NET 30 FROM INVOICE DATE'.
2. A $25.00 handling charge is assessed to checks returned for NSF.
3. In the event of non-payment, ther person, firm, or corporation to whom an open account was extended agrees to bear the expense of all appropriate actions to obtain payment including collection fees and legal proceedings.
4. Advance notice will be given to Newton Instrument Company of any change in business structure. In other words incorporation, changed ownership, etc. Without such notice, the original principals to whom credit was extended shall remain liable. Notice to be given by certified or registered letter and acknowledged by return receipt.
5. Credit policies are subject to change at the discretion of the credit department. Upon acceptance of this application, and the establishment of an open line of credit, the applicant agrees to abide by the credit policies of Newton Instrument Company.
6. Return authorization is required for all material returned. See attached return policy.
 
The information contained herein is true and correct. Applicant, in submitting this application for the purpose of obtaining credit, authorizes Newton Instrument Company, Inc. to contact the above references to obtain any information pertaining to the applicant's credit worthiness.
Applicant's Signature
Title
Date
top
#6. CUSTOMER RETURN POLICY
It is Newton Instrument Company's policy to provide complete customer satisfaction. In the event that shipped goods need to be returned to Newton Instrument Company, please refer to the guidelines shown below:
1. The returned goods authorization (RGA) number must accompany all return shipments in order for us to ensure proper credit to our customers.
2. All returned material must be packaged in such a manner as to prevent transit damage.
a. Items that need to be repainted/replated will incur and additonal 10% charge,
b. Items that need to be repackaged will incur and addional 10% charge,
c. Items received damaged and which cannot be reprocessed by Newton Instrument Company will be scrapped and the customer notified that no credit will be issued.
3. Material returned due to Newton Instrument Company error (i.e. manufacturing defects or wrong part, etc.) may be returned freight collect with no restocking charge.
4. Material returned due to customer error will be subject to the following restocking charges:
a. Make to Stock items 20%,
b. Make to Order items and Non-Catalog items which can be resold 30%,
c. All shipments should be made prepaid to Newton Instrument Company. Freight charges on all returns subject to a restocking charge will be the responsibility of the customer.
5. Parts modified or made to customer specifications, including non-stock paint finishes. Distribution frames are made to order and not-returnable products.
6. If Newton product is received damaged due to freight handling, please contact and file a freight damage claim with the carrier. Newton Instrument Company will assist with providing a replacement order that will include billing for replacement parts and freight.
7. Credit for the return will be issued after the material has been received and inspected by Newton Instrument Company.
8. Customers are requested to wait until they receive the credit memo before deducting it from the payment of future invoices.
 
Applicant's Signature
Title
Date
top
#7. CUSTOMER FREIGHT OPTIONS
Shipments are made F.O.B. Butner, North Carolina via one of the following options:
1. THIRD PARTY BILLING - Carrier chosen by Customer
Customers can specify the carrier and have freight charges billed directly to the customer by providing the Newton Customer Service Representative with:
The customer's account number with the specified carrier,
OR The customer's billing address for freight charges if it is different from the product billing address.
2. FREIGHT COLLECT - Carrier chosen by Customer
Customers can specify the carrier and request a freight collect shipment requiring the customer to give the carrier a check upon delivery or provide the account number with the carrier.
3. NEWTON PREPAID FREIGHT - Carrier chosen by Newton
Customers can have Newton pay freight charges to the carrier and have freight cost added to the product invoice. Newton offers this service without an additional handling charge provided the customer agrees to the following conditions:
a. Carrier is specified by Newton. We have contractual obligations with selected carriers to minimize shipping cost,
b. Customer agrees to pay Newton all freight charges appearing on product invoices without requiring additional freight cost documentation,
c. Customer agrees to pay Newton for freight costs associated with an order shipment but not contained in the initial product invoice. Such charges may result when specific freight charges from the carrier are not available at time of product invoicing. An example is additional charges from the carrier for inside delivery service required by the customer,
d. Agreement to these conditions is implied when customer specifies prepaid freight with an order to Newton Instrument Company. These accepted conditions supersede any statements in customer purchase orders restricting the obligation to pay freight charges appearing on Newton invoices or requiring additional freight cost documentation from Newton,
e. Newton Instrument Company reserves the right to withdraw the prepaid freight option at any time.
 
Shipments are made FOB Butner, NC. When damage is caused by the freight carrier, the customer is responsible for filing freight claims with the carrier.
Applicant's Signature
Title
Date
top