Payment Terms Application Form

Net 30 payment terms are offered to approved medium and large companies and government agencies

This person is responsible for payment of the account
Click or drag files to this area to upload. You can upload up to 2 files.
A signed purchase order issued by your company/agency must be submitted with all credit applications. Payee is: Conex Depot Inc, 187 E Warm Springs Rd Suite B237, Las Vegas, NV 89119, United States. You can upload it now, or email it later to

I hereby certify that the information provided herein is complete and accurate. Payment Terms: Conex Depot Inc offers payment terms of net 30 calendar days from the date of product delivery to approved companies and government agencies. If approved for credit the company shown above agrees to make full payment for the product(s) and delivery fees outlined in the order invoice within the agreed payment term. Late fees of 5% per month are automatically applied to accounts that are 14 days past due. By signing and submitting this form you agree that as an authorized signatory of the company or agency listed above you agree to pay late fees and (if necessary) debt recovery and legal fees associated with past due accounts.