Become a Customer Form

Hereafter known as the buyer, in consideration of obtaining purchases on credit from Skurnik Wines, Inc., 100 Jericho Quadrangle, Suite 140, Jericho NY 11753 (212) 273 9463 hereinafter known as the seller, does hereby agree to the following: buyer agrees to honor all terms and conditions of most current price list, and assumes all responsibility for attainment of said information. Buyer also agrees to pay for interest at _____% per month on any invoice that remains unpaid for more than _____ days after it is due, from the due date, and for any and all deliveries under and pursuant to its accounts whether ordered by the customer or by any person representing himself/herself/itself to be an agent, employee or representative of the customer. The below signed agrees to personally guarantee all indebtedness owed to Skurnik Wines, Inc. by the buyer. This guarantee shall be construed as an absolute and unconditional guarantee of payment, without regard to the validity, regularity or enforceability of any obligation of buyer. Creditor shall have its remedy under this guarantee without being obligated to resort first to any security or to any other remedy or remedies to enforce the payment or collection of the said liabilities and may pursue all or any of its remedies at one time or at different times. If this application is executed by a corporation, it includes any and all successor in interest of said corporation and is binding on the same and all successors in interest, now and in the future. In the event of any delinquency of any account, buyer agrees to pay all collection costs, attorney fees of 25% of the unpaid balance due, and court costs in the collection of said account. Buyer consents to the venue and jurisdiction of any court located in Nassau County, NY. Buyer agrees that in the event the buyer issues a check which does not clear the collection process, a $30.00 fee shall be added to the buyer’s indebtedness.