Customer Information Sheet

At this time, our financial institutions do not accept electronic signatures. Therefore, it is necessary for you to print this form, fill it out and sign it, and fax it to us at 972-406-3407 for fastest processing.

If you have questions, call 1-800-227-7404 dial "1" then x 7524 to reach our credit department.

Sport Supply Group, Inc.
1901 Diplomat Dr.
Dallas, TX 75234

Account Billing Information
Account Name:  
Attn:  

Address:

  
City/State/Zip  

Area Code/Phone:
Fax:

  
Email Address:  
Type of Entity:
[ ] League [ ] Parks and Rec [ ] PAL
[ ] Fundraising [ ] YMCA, JCC, Boys/Girls Club [ ] Church
[ ] City, State, Federal Agency [ ] School District [ ] Other
  [ ] Private School  
Sports Affiliation:
[ ] Baseball [ ] Football [ ] Soccer
[ ] Basketball [ ] Other  
League affiliation ______________________________________________ Number of participants ______________________________________________
When are registration fees due? ___________________________________ When does fiscal year end?___________________________________________

Date program was established ____________________________________

 Do you require purchase orders? Y_______N_______
Equipment $ ____________________________________
Uniforms $ _____________________________________
Fundraising $ ___________________________________
Total Credit Line Desired $_______________________
Complete the following information for authorized Purchasing personnel and League Directors: (attach sheet for additional authorizations.
Name & Title:  
Home Address:  

City/State/Zip

  
Area Code/Phone:
Fax:		  

Authorized For Purchase?

 [ ] Yes [ ] No
Email Address:  
Name & Title:  
Home Address:  

City/State/Zip

  
Area Code/Phone:
Fax:		  

Authorized For Purchase?

 [ ] Yes [ ] No
Email Address:  
Name & Title:  
Home Address:  

City/State/Zip

  
Area Code/Phone:
Fax:		  

Authorized For Purchase?

[ ] Yes [ ] No
Email Address:  
Name & Title:  
Home Address:  

City/State/Zip

  
Area Code/Phone:
Fax:		  

Authorized For Purchase?

[ ] Yes [ ] No
Email Address:  
 
Trade/Credit References (not applicable for City, State, or Federal agencies and public school districts)
Name Contact Address Phone#
1)      
2)      
3)      
4)      
Bank References:
Bank Name & Address: Bank Phone #
Bank Fax #
Checking/Savings Account #:
Savings [ ]
Yes [ ] No [ ]		 Loan [ ] Yes [ ] No
Bank Officer/Contact: Certificate of deposit [ ] Yes [ ] No

Are financial/budget statements available? _____________________________________________

CONDITIONS FOR THE EXTENSION OF CREDIT
FOR THE PURPOSES OF OBTAINING AN EXTENSION OF CREDIT, I (WE) ("Applicant") STATE THAT ALL OF INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND CORRECT. THE PARTIES HEREBY AGREE THAT SERVICES ARE RENDERED SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS:

(1) All invoices are due and payable on Net 30-day terms. Payment of invoices shall be remitted to Sport Supply Group, PO Box 7726, Dallas, Texas 75209. A service charge of $25.00 per check shall be assessed for returned checks.

 

(2) If any collection action is undertaken, Sport Supply Group shall be entitled to recover a reasonable attorneys’ fee, all attendant collection costs, all court costs, and all legal interest accrued on past due principal amounts.

 

(3) Amounts past due are subject to 1.5% (or highest rate allowed by law) each month (18% per annum) until the balance is paid in full.

 

(4) I (We) hereby authorize banks and creditors listed above to release information needed to establish our account.
Signature:  
Print Name:  
Signature:  
Print Name:  
FOR INTERNAL USE ONLY
Credit Limit _________________________
___________Approved ___________ Denied
____________________________________
Credit Manager