For us to extend open terms or credit to your company please complete this form.

 Applicant's Name
Email Address
Company Name
Billing Address
City State
Zip Code
Shipping Address
(if different from above)
City State
Telephone #
Fax #
Corporation Sole Proprietor
FEIN#
S.S. #
Owner's Names

Name of Individuals Authorized to Purchase Items



Three suppliers you are currently purchasing from on open account.

Our terms of sale: The above information is given for the purpose of obtaining credit with Premier Diamond Tools, and is warranted to be true. I authorize Premier Diamond Tools, and/or any authorized credit agency to investigate the references listed above. I also authorize Premier Diamond Tools, to investigate my/our credit though any source available, including other trade references not listed above and credit information bureaus. I authorize any credit reference or credit bureau to release any information regarding my credit to Premier Diamond Tools I agree that Premier Diamond Tools reserves the right to charge my/our account an interest at 18% per annum on any balance remaining unpaid 30 days after invoicing by Premier Diamond Tools, including reasonable attorney's fees which will be determined on a case by case basis. Jurisdiction for any legal action concerning this account shall be in Florida with venue in Broward County. Premier Diamond Tools will not share nor sell this information in accordance to Federal Law.