ChiaoGoo Retailer Account Application


Please fill the following billing information:
Bill To
Address
City
State
ZIP

Please fill the following shipping information.
ShipToAddress

Ship To
Address
City
State
Zip

Please fill the following contact information. Email wiil be used for UPS shipping notification. Website will be listed in ChiaoGoo website.
Phone
Fax
E-mail
Website


Owner and/or Authorized Buyer

Please fill the following credit card information for prepayment. Remember that first order has to be prepaied. If you do NOT feel comfortable to send credit card information by internet, you can provide by phone (248-457-6887) or fax (248-457-1267).
Credit Card



Credit Card Number
3 Digits Security Code
Expiration Date (MM/YY)
Card Member Name
CCAddress



Card Billing Address
City
State
Zip


Sales Terms: 1. Prices are subject to change without notice. Online retail sale with discounted price is strictly prohibited! 2. Shipping charges include the UPS Ground/USPS rate, insurance, handling, and if appropriate, COD charges. These charges apply to split shipments unless other arrangements have been made. 3. Customer account is needed before placing first order. First customer orders are shipped COD or by credit card. When credit has been established, orders may be sent on net 30-day account. Overdue accounts are charged at THREE PERCENT interest per month. All accounts that are overdue 90 days are placed on COD or prepaid only. 4. If you find an error or missing piece from your order, you must notify us within 3 days of receiving the order. Prior authorization is needed on all returns. No returns will be accepted after 30 days. If we accept a return, you are still responsible for any shipping or restocking fees. Needles with defects or that break during normal use can be replaced. 5. Financial arrangements (monthly/quarterly payments) can be made for larger dollar amount orders. Please note that a ONE PERCENT monthly service fee will be added to any outstanding balances. An updated invoice will be mailed after each payment received. 6. A service charge of $25.00 will be added for all returned checks. 7. $100.00 minimum for first order. Minimum re-order is one pack (6 sets). Shipping cost will be waived for any order over $300.00. This applies to US customers only. 8. Because ChiaoGoo needles are largely handcrafted, slight differences in size, color, shape and etc. may occur in the needles.
Accept Sales Terms



Signature
Date