Nationwide Wholesale & Distribution Company

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NEW ACCOUNT APPLICATION

*There will be a $25.00 charge plus mailing fee cost charged for first NSF check, due to
insufficient funds or stop payment without justification on top of repayment of original
invoice amount. *If there is a second NSF check, due to insufficient funds or stop payment
without justification, there will be a $35.00 charge plus mailing fee cost charged on top of
repayment of original invoice amount for each additional NSF check received thereafter.
 
*The undersigned agrees to pay in full and in accordance with the terms of sale as
indicated on H&S Wholesale, LLC invoices.*The undersigned agrees to pay delinquency,
until all delinquent amounts have been paid in full. *The undersigned agrees to pay H&S
Wholesale, LLC reasonable collection and attorney fees and all cost incurred in the
collection of all past due balances.
 
*By signing this authorization for bank release, you are authorizing your bank to release
account information requested above, to H&S Wholesale, LLC.
Please sign and date where indicated legibly.
 
Please note a copy of your wholesale license will need to be sent to AR@hnswholesale.com