Dealer Information. Dealer Name: Xxxx'x Hybrids Dealer ID: D10505 Dealer Phone: 000-000-0000 Dealer Address: 0000 X 000xx Xxxxxx Xxxx: Xxxxxxx Xxxxx: IN Zip: 46031 Remit To: Rabo AgriFinance LLC 0000 Xxxxxxxxxx Xxxxx Xxxxx Xxxxx, XX 00000 Phone: (000) 000-0000 Fax: (000) 000-0000 Email to: XxxxxXxxx@xxxxxx.xxx QuickLink Credit® Program – PLEASE SIGN AND RETURN. KEEP A COPY FOR YOUR RECORDS Application and Account Agreement You promise to pay to Rabo AgriFinance LLC, (referred to herein as “RAF”), or its successors or assignees at Xxxx Xxxxxx Xxx 000000, Xxxxx Xxxxx, Xxxxxxxx 00000, the outstanding principal balance and accrued interest on this QuickLink Credit® Application and Account Agreement (hereinafter the “Agreement”) as agreed and further described below. The words you, your, and yours mean each person and/or entity who applies for and is granted credit pursuant to this Agreement. You authorize any one or more dealers (each hereinafter a “Dealer”) who has been approved by RAF to conduct business pursuant to one or more written agreements with RAF to submit proof(s) of your purchase(s) of products and/or services to RAF and for RAF to provide advances in payment of such purchases under this Agreement (each hereinafter an “Advance” or “Advances”) and you authorize RAF to advance, at its option, under this Agreement sufficient funds to satisfy any outstanding obligations to Dealer. Advances shall be equal to the amounts identified on the invoices or other proofs of purchase, sale or delivery submitted by Dealers to RAF. You understand and agree that RAF may rely on all invoices or other proofs of purchase, sale or delivery submitted by the Dealer whether such invoices or other proofs of purchase, sale or delivery are submitted verbally, in writing or electronically to the same extent as if you had personally signed a receipt for such purchase or other request for payment. Each Advance is deemed to be an advance of funds to you under this Agreement. Conditions: You understand that no Advances will be made under this Agreement until this Agreement is approved by RAF. You understand that RAF may at any time discontinue your ability to receive Advances or have Advances made on your behalf under this Agreement if any of the following occur: 1) if the total of any invoice or other proof of purchase, sale or delivery, when combined with the current principal balance of this Agreement, would cause the amount due on this Agreement to exceed the maximum credit limit approved by RAF...
Dealer Information. If opening your account through a Broker/Dealer or Registered Investment Advisor, please have them complete this section. Dealer Name Representative’s Last Name, First Name DEALER HEAD OFFICE REPRESENTATIVE’S BRANCH OFFICE Address Address City, State, ZIP City, State, ZIP Telephone Number Rep Telephone Number Rep ID Number Email Address Rep Email Address Branch ID Number Branch Telephone Number (if different than Rep Phone Number)
Dealer Information. Please ask your advisor to complete this section.
Dealer Information. Dealer agrees that all Dealer Information transmitted to a Potential Purchaser shall remain in full force and effect and be binding on Dealer for a period of seven (7) days after its transmittal, provided the identified vehicle still remains available for sale. If pricing, terms, incentives or availability of vehicles used in the Dealer Information to the Prospective Purchaser are in reliance on a manufacturer sponsored program, the time period in which the terms and conditions shall remain in full force and effect shall coincide with the termination date of the Manufacturer's program, but shall not exceed seven (7) days. Dealer agrees to include a statement to such effect in the Dealer Information and shall inform the Prospective Purchaser of any reduction in the time period as set forth above. Any claim for damages arising out of Dealer's failure to inform Potential Purchasers of all information required by this Section shall be borne solely by Dealer who shall hold ABT harmless from any loss as a result.
Dealer Information. Dealer must notify EBlock, in writing, of any changes in authorized representatives or ownership structure. Failure to notify EBlock will not release Dealer’s obligations. Dealer is responsible for all transactions conducted by said representatives.
Dealer Information. If broker/dealer information is to be maintained on the new account, please provide the following information. Accurate completion of this section will expedite dealer concession. Please print clearly. Note: Stamps will not be accepted in place of providing the information below. Dealer Name Dealer Number Branch Street Address Branch Number Branch City, State, ZIP Code Branch Telephone Number Representative Name Representative Number Representative Email Address Representative Telephone Number Representative’s Signature Date Section 5 – Fund Selection ⮚ Class A shares will automatically be purchased if no class of shares is selected. ⮚ Minimum Investments - The minimum initial purchase, as well as subsequent purchases is $100 per Fund. If the account is established in connection with a SEP Plan or grandfathered SARSEP Plan established by the Depositor’s employer, the minimum investment amount is waived. Fund Names Class A Class C Dollar Amount Percentage The Merger Fund® 260 n/a $ or % Virtus AlphaSimplex Global Alternatives 1991 1992 $ or % Virtus AlphaSimplex Managed Futures Strategy 2606 2607 $ or % Virtus Ceredex Large-Cap Value Equity 5513 5563 $ or % Virtus Ceredex Mid-Cap Value Equity 5724 5411 $ or % Virtus Ceredex Small-Cap Value Equity 5728 5552 $ or % Virtus Convertible 6008 6208 $ or % Xxxxxx Xxxx & Xxxxxx Global Infrastructure 1438 1439 $ or % Xxxxxx Xxxx & Xxxxxx Global Real Estate Securities 1854 1855 $ or % Xxxxxx Xxxx & Xxxxxx Real Asset 1641 1642 $ or % Xxxxxx Xxxx & Xxxxxx Real Estate Securities 578 1422 $ or % Xxxxxx Xxxx & Xxxxxx Select MLP and Energy 2464 2465 $ or % Xxxxxx Xxxx & Xxxxxx Water 4081 4281 $ or % Virtus Emerging Markets Opportunities 4036 4236 $ or % Virtus Global Allocation 4016 4216 $ or % Virtus Income & Growth 4035 4235 $ or % Virtus International Small-Cap 6010 6210 $ or % Virtus KAR Capital Growth 597 816 $ or % Virtus KAR Developing Markets 2553 2554 $ or % Virtus KAR Emerging Markets Small-Cap 2423 2424 $ or % Virtus KAR Equity Income 835 837 $ or % Virtus KAR Global Quality Dividend 1594 1595 $ or % Virtus KAR Global Small-Cap 4064 4264 $ or % Virtus KAR Health Sciences 4059 4259 $ or % Virtus KAR International Small-Mid Cap 1965 1966 $ or % Virtus KAR Long/Short Equity 2540 2541 $ or % Virtus KAR Mid-Cap Core 1866 1867 $ or % Virtus KAR Mid-Cap Growth 80 1369 $ or % Virtus KAR Small-Cap Growth 1766 1767 $ or % Virtus KAR Small-Cap Value 1742 1744 $ or % Virtus KAR Small-Mid Cap Core 2536 2537 $ or % Virtus KAR ...
Dealer Information. Please complete and execute the signature area above, information fields below, and submit the complete Section 7.6, Authorized Dealer Agreement to the Contractor for determination. Dealer’s FEIN No.: Dealer’s Organization Name: Dealer’s Street Address: Dealer’s City, State and ZIP: Dealer’s Telephone Number: Dealer’s Contact Name: Dealer’s MWBE Status: Dealer’s Product Availability (xxxx each that apply): o PA – Tires, Automobile, Radial, Standard Passenger o PP – Tires, Police Pursuit and Emergency High Speed, Radial o LT – Tires, Light Truck; Bias, Radial, and Steel Casing (Including Off-Road Applications) o MT – Tires, Medium Truck, Radial o OR – Tires, Off-Road; Bias and Radial o IF – Tires, Implement / Farm o SP – Tires, Specialty For Contractor’s Use Only o Approve (Date: ) o Deny (Date: ) Reason(s) for Denial:
Dealer Information. Dealer Name Dealer Number: Street City State Zip Code County SECTION B – Manufacturer/Distributor Information Name of Manufacturing Company: Make of Vehicle: Name of Authorized Representative: Authorized Representative's Position: SECTION C – AGREEMENT I, as an authorized representative of the above described manufacturer, state that the dealer in SECTION A of this form has an agreement with the manufacturer/distributor listed in SECTION B, for the sale of new motor vehicles of our manufacture. This is a written agreement with as DEALERSHIP OWNER, OFFICER, OR PARTNER POSITION and will begin to unless sooner terminated and notice of such termination is filed with the Minnesota Department of Public Safety Driver and Vehicle Services division. X SIGNATURE OF MANUFACTURER”S AUTHORIZED REPRESENTATIVE DATE Signed and sworn before me by This day of (Notary Public) My commission expires
Dealer Information. Legal Status: Corporation Partnership Sole Proprietor Dealer Legal Business Name: Legal Business Address: City, State, Zip: Phone: FAX: Contact Name: Email Address: Federal Tax ID #: Colorado Secretary of State Registration #: ------------------- If Business Location is different than LEGAL Business information ------------------ Dealer Location Name: Location Address: City, State, Zip: .
Dealer Information. 5.2 Provisions relating to claims made for indemnification under this Section 5 are set forth in Exhibit B to this Agreement.
