CUSTOMER PROFILE & CREDIT APPLICATION

LEVY DEVAY, LLC

755 W. Big Beaver Rd., Ste. 2020

Troy, MI 48084

Phone 248-961-5601 / Fax 248-886-8115

Business Name: *

Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone: *

- Area Code Phone Number

Fax: *

- Area Code Phone Number

Business E-mail: *

Purchasing Agent: *

First Name Last Name

Invoicing Information (Choose one):

E-mail:

Fax:

- Area Code Phone Number

Mail to:

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Type of Business:

Nature of Business:

# of Years:

Tax Status: *

Taxable Tax Exempt

Estimated Order Amounts *

10,000 pcs. bulk 20,000 pcs. bulk 30,000 pcs. bulk 40,000 pcs. bulk 12,000 pcs. blister-12 pcs. per pack 24,000 pcs. blister-12 pcs. per pack 48,000 pcs. blister-12 pcs. per pack 60,000 pcs. blister-12 pcs. per pack

I, the undersigned, hereby state the information listed on this application to be accurate to the best of my knowledge. I give my consent and authority to Levy Devay, LLC to investigate and verify the information provided. All new accounts will be C.O.D. until credit is approved. If open account is granted PAYMENT TERMS ARE NET 30 DAYS. If open account terms are granted, in the event of non-payment according to the terms stated above, I agree to pay a 1 1/2% per month (18% per annum) interest charge up to the maximum amount allowable by law. If outside services are required to collect payment on account, I agree to pay all collection costs, including but not limited to, collection fees, court costs and attorney fees, up to the maximum allowable by law. I have read, understand, and agree to the above stated terms.

Full Name: *

First Name Last Name

Title: *

Date: *

- Month - Day Year

DOING BUSINESS WITH LEVY DEVAY, LLC
Terms & Conditions

Placing Order Estimates

E-mail to info@levydevay.com .
Call (248) 961-5601 from Monday through Friday between 9am and 5pm EST.
Fax (248) 886-8115 24 hours a day 7 days a week.
Mail order to Levy Devay, LLC at 755 W. Big Beaver Rd., Ste. 2020, Troy, MI 48084.

Minimum Order, Delivery & Freight

Minimum order size is 10,000 pcs.
When another carrier is necessary for delivery, respective carrier charges will apply.
Delivery charges are waived if the order is picked up at Levy Devay, LLC.
Backordered items will ship when available.

Pricing, Payment & Refunds

Prices are subject to change without notice. Inquire at time of order for current pricing or contact your Levy Devay, LLC Representative for written proposals.
Payment terms are Net 30 days for customers with a pre-approved Levy Devay, LLC credit account.
There will be a $25.00 service charge for all returned checks.
Invoices that are past term are subject to a 5% late fee.
Levy Devay, LLC accepts Visa, MasterCard, business checks, money orders and Cash App by Square, Inc.
Stocked merchandise may be returned to Levy Devay, LLC within 90 days if in resalable condition, original cartons and full cases. A Return Authorization Number from Levy Devay, LLC Customer Care department is required for all returns. A restocking fee may apply. Special order items are not returnable.

Product & Special Order Information

Products, including data collection information, are clearly labeled using Levy Devay, LLC part numbers. If other information is required, please inform us.
Products distributed by Levy Devay, LLC meet general industry requirements for tolerance, case pack, and packaging. If special information including drawings, samples, or custom tolerance are required, contact your Levy Devay, LLC Representative or the Levy Devay, LLC Quality Department.
From time to time, products are discontinued, part numbers and case pack quantities and specifications change. When this happens, product substitutions will automatically be made. Please inform the Levy Devay, LLC Customer Care team if special product substitution procedures are required.
Levy Devay, LLC can special order or custom-stock products on request. A signed contract of usage and ownership of custom inventory are required. Custom stock items are not cancelable, returnable or refundable. Custom product paid, unless other account credit is granted by Levy Devay, LLC. Special orders are not returnable or refundable.
Buyer agrees to include Levy Devay, LLC patent number(s) to any of its own bulk packaging for resale, in an effort to protect Sellers intellectual property rights in the product.