Thank you for choosing Stukel Mountain!

Please complete the following form so we may build your account in our systems.


Company Name


Contact First Name


Contact Last Name


Email Address


Office Phone


Cell Phone




Billing Address


City


State


Zip Code




Physical Address


City


State


Zip Code




Type of Business

 Corporation    Partnership   Sole Proprietor  LLC   Other: 


Has Ownership Changed in the Past Year?     Yes     No


Years in Business?


Freight Payment Schedule: Net  Days


Are you current?   Yes   No


Tell us about your shipments:




Accounting Information:

Contact First Name


Contact Last Name


Phone #


Email Address


Invoicing Requirements




Trade References:

  1. Company Name

City


State


Phone


Email



       2. Company Name

City


State


Phone


Email



       3. Company Name

City


State


Phone


Email




Terms & Conditions:
The applicant(s) executing this Application and Agreement (*Customer*) hereby agree(s) that payment forall services is subject to the following terms and conditions:
1. Customer agrees that all amounts due for services provided by “Stukel Mountain, LLC”
and/or any of its subsidiaries or affiliates, (collectively the “Company) are payable at Stukel Mountain, LLC 2700 Washburn Way, Suite B-2, Klamath Falls, OR 97603
2. Customer agrees that all amounts due are not payable in installments, but are payable (Net 15)
days from date of invoice. Company reserves the right to demand payment of all past due freightcharges as a precondition for releasing any shipment(s) at destination. This right includes theright to demand payment upon delivery of shipment(s) at any time. If any amount due is not paidwithin said period, a delinquency charge of 5% per month of the delinquent balance shall beadded to the sum due.
3. In the event the Account becomes delinquent and is turned over for collection, Customer agrees
to pay all costs of collection including reasonable attorney fees and court costs. It is agreed thatcustomer will become C.O.D if customer fails to pay terms.
4. Customer agrees to notify Company by certified mail of any changes in ownership of Customer
and further agrees to be liable for all losses incurred as a result of failure to comply with saidnotifications.
5. Customer authorizes the Company and/or its Credit Agency(s) to investigate all credit history,
bank reference and any other information required to process this application and as it deemsnecessary in the future.
6. Person accepting this document is an authorized representative and has authority to execute this
document.