LibertyToner.com / Net 20 Authorization Agreement

Net 20 Payment Terms Agreement

Please print and fill out completely, and email it to sales@alximaging.com


Company Billing Information:
Company/Name: Phone Number:
Address: City/State:
Suite/Rm/Floor: Postal Code:
Attn Contact: A/P Fax Number:

Select Here:    Corporation, Date Inc.______, State Inc.___  Partnership  Proprietorship  L.L.C  Non-Profit


Company Shipping Information:
Company/Name: ShipTo Attn:
Address: Estimated Monthly Purchases:
Suite/Rm/Floor: Multiple Shipping Locations:        YES  NO
City/State/Zip: Is a Purchase Order Required?    YES  NO

Credit Card Information:

Please select one:       Visa Visa          MasterCard MasterCard          Discover Discover          Discover AMEX

Credit Card Number: Expiration Date:
Name(s) on Credit Card: 3 Digit CVV Code:
C/C Billing Address: Zip Code:
C/C City/State: Tel No:

Terms & Conditions of Sale: (Please read and understand before signing)

  • I, the undersigned,  agree to pay for all purchases according to the terms & conditions as they appear on the most current web site at ALX Imaging, LLC. If credit is extended, I/we agree to pay all debts incurred within the terms of sale. The undersigned agrees to the continued solvency of the Credit Card as a precondition to any sales made by ALX Imaging, LLC . No terms or conditions of purchase orders different from the terms of ALX Imaging, LLC will become part of the Sales Agreement. However, if the debt should become past due. I/we expressly agree to give ALX Imaging, LLC permission to apply the full remaining balance, plus 7% of said balance (to cover credit card and other processing fees), as well as any current or future purchases, to the beforementioned Credit Card. I/we also agree to authorize ALX Imaging, LLC to verify the validity of the beforementioned Credit Card from time to time. 
  • If I/we purchase and do not return in a timely manner, any products that require an exchange within 20 days, I/we agree to become liable for the difference in price between the exchange and non-exchange prices, plus a per cartridge late fee of $10.00 and/or per fuser unit late fee of $20.00 after 30 days from ship date. 
  • The laws of the State of Texas shall be applicable to all suits arising under any agreement between the undersigned and ALX Imaging, LLC . In the event of litigation, venue shall be the choice of ALX Imaging, LLC . I/we further agree to pay reasonable collection costs and attorney's fees incurred by ALX Imaging, LLC to collect any outstanding balances. 
  • I understand that, with my signature, I acknowledge that I have checked all information provided to ALX Imaging, LLC and it is correct, and that I have read, understand and agree to all the terms and conditions, and a minimum annual volume requirement is $3,000 net sales. 

Cardholder Signature: Date:

Copyright © 2011/2013  ALX Imaging, LLC ~ 4080 Linne Road ~ Seguin, TX 78155
(210) 651-5000