sourceonespares.formstack.com
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https://sourceonespares.formstack.com/forms/new_customer_form
Submission: On June 06 via manual from US — Scanned from DE
Submission: On June 06 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST https://sourceonespares.formstack.com/forms/index.php
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value="Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/125.0.0.0 Safari/537.36">
<div id="fsPage4601855-1" class="StyledPage-sc-15mrpfq-0 hCMMok fsPage">
<div data-testid="section0-col1" id="fsSection0" class="StyledSection-sc-1jyjf4h-0 iJPmtD fsSection"></div>
<div data-testid="section117739284-col4" id="fsSection117739284" class="StyledSection-sc-1jyjf4h-0 bxJZLi fsSection">
<div class="StyledSectionHeader-sc-14xa0k7-0 iAafzu fsSectionHeader">
<h2 class="StyledSectionHeading-sc-hpb4sc-0 eBtlc fsSectionHeading">New Customer Form</h2>
<div class="fsSectionText">
<p> <img
src="https://s3.amazonaws.com/files.formstack.com/public/925927/image_Newlogo.png" style="width: 372px; height: 113.07439024390244px;" class="fr-fic fr-dib fr-fil"></p>
<p style="text-align: center;"><span style="font-size: 14px;"><span style="font-family: Times New Roman,Times,serif,-webkit-standard;">Corporate Office: 12121 Wickchester Lane, Suite 725, </span></span><span
style="font-size: 14px;"><span style="font-family: Times New Roman,Times,serif,-webkit-standard;">Houston, TX 77079-1238</span></span></p>
<p style="text-align: center;"><a href="http://www.SourceOneSpares.com" rel="noopener noreferrer" target="_blank">www.SourceOneSpares.com</a></p>
<p style="text-align: center;"><span style="font-size: 14px;">Office (832) 364-6800</span></p>
</div>
</div><span class="StyledLabel-sc-vn5hkq-0 iBGcmQ fsLabelVertical fsFieldCell" id="label-field117739285" for="field117739285" data-testid="field-117739285"><a id="field-anchor-117739285" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h2><strong><span style="color: rgb(41, 105, 176);">Company Information</span></strong></h2>
</div>
</span><label class="StyledLabel-sc-vn5hkq-0 fQPfAK fsLabelVertical fsFieldCell" id="label-field117739286" for="field117739286" data-testid="field-117739286"><a id="field-anchor-117739286" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Company Name (Legal)</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer" id="field117739286" type="text" label="Company Name (Legal)" required="" name="field117739286"
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</div>
</label><label class="StyledLabel-sc-vn5hkq-0 fQPfAK fsLabelVertical fsFieldCell" id="label-field117739287" for="field117739287" data-testid="field-117739287"><a id="field-anchor-117739287" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel"><span>Trade or DBA Name</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer" id="field117739287" type="text" label="Trade or DBA Name" name="field117739287" placeholder=""
data-fs-field-id="117739287" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 fQPfAK fsLabelVertical fsFieldCell" id="label-field117739288" for="field117739288" data-testid="field-117739288"><a id="field-anchor-117739288" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Federal ID or VAT#</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer" id="field117739288" type="text" label="Federal ID or VAT#" required="" name="field117739288" placeholder=""
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</div>
</label><label class="StyledLabel-sc-vn5hkq-0 fQPfAK fsLabelVertical fsFieldCell" id="label-field123311314" for="field123311314" data-testid="field-123311314"><a id="field-anchor-123311314" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Year of Formation</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer" id="field123311314" type="text" label="Year of Formation" required="" name="field123311314" placeholder=""
data-fs-field-id="123311314" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 fQPfAK fsLabelVertical fsFieldCell" id="label-field117739289" for="field117739289" data-testid="field-117739289"><a id="field-anchor-117739289" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Business Phone</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div><input autocomplete="tel"
class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldPhone" name="field117739289" id="field117739289" data-testid="field117739289" required="" placeholder="" type="tel" data-fs-field-id="117739289" data-fs-field-name="phone"
data-fs-field-alias="*" value="">
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<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Do we charge you sales tax? (Only U.S. Companies)</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<fieldset aria-labelledby="117739290-legend" role="radiogroup" aria-required="true" class="StyledFieldset-sc-1r8yz9c-0 StyledOptionWrapper-sc-1ah0fdf-0 cdlqHK glshJU"><span
style="position: absolute; left: -999em; width: 0.1em; height: 0.1em; overflow: hidden;">
<legend id="117739290-legend">Do we charge you sales tax? (Only U.S. Companies)</legend>
</span>
<div><label for="field117739290_1" class="StyledOptionLabel-sc-1bymt4x-0 jVTGpf fsOptionLabel"><input label="Do we charge you sales tax? (Only U.S. Companies)" required="" class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio"
name="field117739290" id="field117739290_1" data-fs-field-id="117739290" data-fs-field-name="radio" data-fs-field-alias="*" value="Yes">Yes</label></div>
<div><label for="field117739290_2" class="StyledOptionLabel-sc-1bymt4x-0 jVTGpf fsOptionLabel"><input label="Do we charge you sales tax? (Only U.S. Companies)" required="" class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio"
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</fieldset><span class="StyledSupportingText-sc-1pgm78z-0 Pfcjq fsSupporting"><span>If 'No', upload Tax Exemption Certificate to this form</span></span>
</span><span class="StyledLabel-sc-vn5hkq-0 fQPfAK fsLabelVertical fsFieldCell" id="label-field117739291" for="field117739291" data-testid="field-117739291-horizontal"><a id="field-anchor-117739291" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Type of Business Organization</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<fieldset aria-labelledby="117739291-legend" role="radiogroup" aria-required="true" class="StyledFieldset-sc-1r8yz9c-0 StyledOptionWrapper-sc-1ah0fdf-0 cdlqHK glshJU"><span
style="position: absolute; left: -999em; width: 0.1em; height: 0.1em; overflow: hidden;">
<legend id="117739291-legend">Type of Business Organization</legend>
</span>
<div><label for="field117739291_1" class="StyledOptionLabel-sc-1bymt4x-0 jVTGpf fsOptionLabel"><input label="Type of Business Organization" required="" class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio" name="field117739291"
id="field117739291_1" data-fs-field-id="117739291" data-fs-field-name="radio" data-fs-field-alias="*" value="Sole Proprietorship">Sole Proprietorship</label></div>
<div><label for="field117739291_2" class="StyledOptionLabel-sc-1bymt4x-0 jVTGpf fsOptionLabel"><input label="Type of Business Organization" required="" class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio" name="field117739291"
id="field117739291_2" data-fs-field-id="117739291" data-fs-field-name="radio" data-fs-field-alias="*" value="Partnership">Partnership</label></div>
<div><label for="field117739291_3" class="StyledOptionLabel-sc-1bymt4x-0 jVTGpf fsOptionLabel"><input label="Type of Business Organization" required="" class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio" name="field117739291"
id="field117739291_3" data-fs-field-id="117739291" data-fs-field-name="radio" data-fs-field-alias="*" value="Corporation">Corporation</label></div>
<div><label for="field117739291_4" class="StyledOptionLabel-sc-1bymt4x-0 jVTGpf fsOptionLabel"><input label="Type of Business Organization" required="" class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio" name="field117739291"
id="field117739291_4" data-fs-field-id="117739291" data-fs-field-name="radio" data-fs-field-alias="*" value="LLC/Other">LLC/Other</label></div>
</fieldset>
</span><label class="StyledLabel-sc-vn5hkq-0 bquoTD fsLabelVertical fsFieldCell" id="label-field117739292" for="field117739292" data-testid="field-117739292"><a id="field-anchor-117739292" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>UPLOAD Tax Exemption Certificate</span></div>
<div class="AsyncFileUploadstyles__StyledDragAndDropContainer-sc-wvu5q-0 gYlCmx">
<div class="AsyncFileUploadstyles__StyledContentWrapper-sc-wvu5q-1 jyvZzY"><svg width="22" height="22" xmlns="http://www.w3.org/2000/svg" fill="#080101">
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</svg>
<div class="AsyncFileUploadstyles__StyledDragAndDropText-sc-wvu5q-2 ftAmkp">Drag and drop here or <button data-testid="browse-files-117739292"
class="UnstyledButton-sc-1wod56h-0 AsyncFileUploadstyles__StyledBrowseButton-sc-wvu5q-9 dApaXv bVaRyU">Browse files</button></div>
<div class="AsyncFileUploadstyles__StyledSupportingText-sc-wvu5q-3 fZYiXZ">Max file size: 10 MB</div>
</div>
</div><input type="file" class="fsHidden fsFieldFile" name="" id="file-upload-field117739292" accept="jpg,jpeg,gif,png,bmp,tif,psd,pdf,doc,docx,csv,xls,xlsx,txt,mp3,mp4,aac,wav,au,wmv,avi,mpg,mpeg,zip,gz,rar,z,tgz,tar,sitx" aria-hidden="true"
data-fs-field-id="117739292" data-fs-field-name="file" data-fs-field-alias="*" style="display: none;">
</label><span class="StyledLabel-sc-vn5hkq-0 iBGcmQ fsLabelVertical fsFieldCell" id="label-field117739293" for="field117739293" data-testid="field-117739293"><a id="field-anchor-117739293" tabindex="-1" aria-hidden="true"></a>
<div class="">
<p><br></p>
<hr>
<p><strong><span style="color: rgb(41, 105, 176); font-size: 24px;">Principals of the Company</span></strong></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 dXeJxd fsLabelVertical fsFieldCell" id="label-field117739294" for="field117739294" data-testid="field-117739294"><a id="field-anchor-117739294" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Name</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gyqBeY fsSubField fsNameFirst"><input autocomplete="given-name" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field117739294-first" type="text" label="Name" required="" maxlength="20"
name="field117739294-first" data-fs-field-id="117739294" data-fs-field-name="name" data-fs-field-alias="first" value=""><label for="field117739294-first" class="StyledLabel-sc-vn5hkq-0 idUuwM">First Name</label></div>
<div class="StyledSubField-sc-1wt4t9i-0 gyqBeY fsSubField fsNameLast"><input autocomplete="family-name" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field117739294-last" type="text" label="Name" required="" maxlength="20"
name="field117739294-last" data-fs-field-id="117739294" data-fs-field-name="name" data-fs-field-alias="last" value=""><label for="field117739294-last" class="StyledLabel-sc-vn5hkq-0 idUuwM">Last Name</label></div>
</div>
</span><label class="StyledLabel-sc-vn5hkq-0 dXeJxd fsLabelVertical fsFieldCell" id="label-field117739295" for="field117739295" data-testid="field-117739295"><a id="field-anchor-117739295" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Phone</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div><input autocomplete="tel"
class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldPhone" name="field117739295" id="field117739295" data-testid="field117739295" required="" placeholder="" type="tel" data-fs-field-id="117739295" data-fs-field-name="phone"
data-fs-field-alias="*" value="">
</label><label class="StyledLabel-sc-vn5hkq-0 dXeJxd fsLabelVertical fsFieldCell" id="label-field117739296" for="field117739296" data-testid="field-117739296"><a id="field-anchor-117739296" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Email</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 ebUzir"><input id="field117739296" type="email" maxlength="" label="Email" required="" autocomplete="email" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldEmail" name="field117739296" size="50"
placeholder="" data-fs-field-id="117739296" data-fs-field-name="email" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 dXeJxd fsLabelVertical fsFieldCell" id="label-field117739297" for="field117739297" data-testid="field-117739297"><a id="field-anchor-117739297" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Position</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer" id="field117739297" type="text" label="Position" required="" name="field117739297" placeholder=""
data-fs-field-id="117739297" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><span class="StyledLabel-sc-vn5hkq-0 dXeJxd fsLabelVertical fsFieldCell" id="label-field117739298" for="field117739298" data-testid="field-117739298"><a id="field-anchor-117739298" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel"><span>Name</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gyqBeY fsSubField fsNameFirst"><input autocomplete="given-name" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field117739298-first" type="text" label="Name" maxlength="20" name="field117739298-first"
data-fs-field-id="117739298" data-fs-field-name="name" data-fs-field-alias="first" value=""><label for="field117739298-first" class="StyledLabel-sc-vn5hkq-0 idUuwM">First Name</label></div>
<div class="StyledSubField-sc-1wt4t9i-0 gyqBeY fsSubField fsNameLast"><input autocomplete="family-name" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field117739298-last" type="text" label="Name" maxlength="20" name="field117739298-last"
data-fs-field-id="117739298" data-fs-field-name="name" data-fs-field-alias="last" value=""><label for="field117739298-last" class="StyledLabel-sc-vn5hkq-0 idUuwM">Last Name</label></div>
</div>
</span><label class="StyledLabel-sc-vn5hkq-0 dXeJxd fsLabelVertical fsFieldCell" id="label-field117739299" for="field117739299" data-testid="field-117739299"><a id="field-anchor-117739299" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel"><span>Phone</span></div><input autocomplete="tel" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldPhone" name="field117739299" id="field117739299" data-testid="field117739299"
placeholder="" type="tel" data-fs-field-id="117739299" data-fs-field-name="phone" data-fs-field-alias="*" value="">
</label><label class="StyledLabel-sc-vn5hkq-0 dXeJxd fsLabelVertical fsFieldCell" id="label-field117739300" for="field117739300" data-testid="field-117739300"><a id="field-anchor-117739300" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel"><span>Email</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 ebUzir"><input id="field117739300" type="email" maxlength="" label="Email" autocomplete="email" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldEmail" name="field117739300" size="50" placeholder=""
data-fs-field-id="117739300" data-fs-field-name="email" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 dXeJxd fsLabelVertical fsFieldCell" id="label-field117739301" for="field117739301" data-testid="field-117739301"><a id="field-anchor-117739301" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel"><span>Position</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer" id="field117739301" type="text" label="Position" name="field117739301" placeholder=""
data-fs-field-id="117739301" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><span class="StyledLabel-sc-vn5hkq-0 iBGcmQ fsLabelVertical fsFieldCell" id="label-field117739302" for="field117739302" data-testid="field-117739302"><a id="field-anchor-117739302" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h2><br></h2>
<hr>
<h2><strong><span style="color: rgb(41, 105, 176);">Accounting Information</span></strong></h2>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 dXeJxd fsLabelVertical fsFieldCell" id="label-field117739303" for="field117739303" data-testid="field-117739303"><a id="field-anchor-117739303" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>AP Contact Name</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gyqBeY fsSubField fsNameFirst"><input autocomplete="given-name" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field117739303-first" type="text" label="AP Contact Name" required="" maxlength="20"
name="field117739303-first" data-fs-field-id="117739303" data-fs-field-name="name" data-fs-field-alias="first" value=""><label for="field117739303-first" class="StyledLabel-sc-vn5hkq-0 idUuwM">First Name</label></div>
<div class="StyledSubField-sc-1wt4t9i-0 gyqBeY fsSubField fsNameLast"><input autocomplete="family-name" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field117739303-last" type="text" label="AP Contact Name" required="" maxlength="20"
name="field117739303-last" data-fs-field-id="117739303" data-fs-field-name="name" data-fs-field-alias="last" value=""><label for="field117739303-last" class="StyledLabel-sc-vn5hkq-0 idUuwM">Last Name</label></div>
</div>
</span><label class="StyledLabel-sc-vn5hkq-0 dXeJxd fsLabelVertical fsFieldCell" id="label-field117739304" for="field117739304" data-testid="field-117739304"><a id="field-anchor-117739304" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>AP Contact Phone</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div><input autocomplete="tel"
class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldPhone" name="field117739304" id="field117739304" data-testid="field117739304" required="" placeholder="" type="tel" data-fs-field-id="117739304" data-fs-field-name="phone"
data-fs-field-alias="*" value="">
</label><label class="StyledLabel-sc-vn5hkq-0 dXeJxd fsLabelVertical fsFieldCell" id="label-field117739305" for="field117739305" data-testid="field-117739305"><a id="field-anchor-117739305" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>AP Contact Email</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 ebUzir"><input id="field117739305" type="email" maxlength="" label="AP Contact Email" required="" autocomplete="email" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldEmail" name="field117739305"
size="50" placeholder="" data-fs-field-id="117739305" data-fs-field-name="email" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 dXeJxd fsLabelVertical fsFieldCell" id="label-field117739306" for="field117739306" data-testid="field-117739306"><a id="field-anchor-117739306" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel"><span>Position</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer" id="field117739306" type="text" label="Position" name="field117739306" placeholder=""
data-fs-field-id="117739306" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><span class="StyledLabel-sc-vn5hkq-0 iBGcmQ fsLabelVertical fsFieldCell" id="label-field117739307" for="field117739307" data-testid="field-117739307"><a id="field-anchor-117739307" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>BILLING ADDRESS</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 LcBjZ fsSubField fsFieldAddress"><input autocomplete="address-line1" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field117739307-address" type="text" label="BILLING ADDRESS" required=""
name="field117739307-address" aria-required="true" data-fs-field-id="117739307" data-fs-field-name="address" data-fs-field-alias="address" value=""><label class="StyledLabel-sc-vn5hkq-0 idUuwM fsSupportingSubLabel"
for="field117739307-address">Address Line 1</label></div>
<div class="StyledSubField-sc-1wt4t9i-0 LcBjZ fsSubField fsFieldAddress2"><input autocomplete="address-line2" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field117739307-address2" type="text" label="BILLING ADDRESS" required=""
name="field117739307-address2" data-fs-field-id="117739307" data-fs-field-name="address" data-fs-field-alias="address2" value=""><label class="StyledLabel-sc-vn5hkq-0 idUuwM fsSupportingSubLabel" for="field117739307-address2">Address
Line 2</label></div>
<div width="55%" class="StyledSubField-sc-1wt4t9i-0 hWtSMS fsSubField fsFieldCity"><input autocomplete="address-level2" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field117739307-city" type="text" label="BILLING ADDRESS" required=""
name="field117739307-city" aria-required="true" data-fs-field-id="117739307" data-fs-field-name="address" data-fs-field-alias="city" value=""><label class="StyledLabel-sc-vn5hkq-0 idUuwM fsSupportingSubLabel"
for="field117739307-city">City</label></div>
<div width="30%" class="StyledSubField-sc-1wt4t9i-0 ewDBbd fsSubField fsFieldState"><input autocomplete="address-level1" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field117739307-state" type="text" label="BILLING ADDRESS" required=""
name="field117739307-state" aria-required="true" data-fs-field-id="117739307" data-fs-field-name="address" data-fs-field-alias="state" value=""><label class="StyledLabel-sc-vn5hkq-0 idUuwM fsSupportingSubLabel"
for="field117739307-state">State/Province</label></div>
<div width="10%" class="StyledSubField-sc-1wt4t9i-0 fcbnCL fsSubField fsFieldZip"><input autocomplete="postal-code" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field117739307-zip" type="text" label="BILLING ADDRESS" required=""
name="field117739307-zip" aria-required="true" data-fs-field-id="117739307" data-fs-field-name="address" data-fs-field-alias="zip" value=""><label class="StyledLabel-sc-vn5hkq-0 idUuwM fsSupportingSubLabel" for="field117739307-zip">ZIP
/ Postal</label></div>
<div class="StyledSubField-sc-1wt4t9i-0 eoIViX"><select autocomplete="country" class="StyledSelectInput-sc-1qjysc9-0 llGEHw fsSubField fsFieldCountry" id="field117739307-country" type="address" label="BILLING ADDRESS" required=""
name="field117739307-country" aria-required="true" data-fs-field-id="117739307" data-fs-field-name="address" data-fs-field-alias="country">
<option value=""></option>
<option value="Afghanistan">Afghanistan</option>
<option value="Aland Islands">Aland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia, Plurinational State of">Bolivia, Plurinational State of</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, The Democratic Republic of the">Congo, The Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote d'Ivoire">Cote d'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-bissau">Guinea-bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and Mcdonald Islands">Heard Island and Mcdonald Islands</option>
<option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Democratic People\'s Republic of">Korea, Democratic People\'s Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People\'s Democratic Republic">Lao People\'s Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Republic of Macedonia">Republic of Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia, Federated States of">Micronesia, Federated States of</option>
<option value="Moldova, Republic of">Moldova, Republic of</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestinian Territory">Palestinian Territory</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Barthelemy">Saint Barthelemy</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syrian Arab Republic">Syrian Arab Republic</option>
<option value="Taiwan, Republic of China">Taiwan, Republic of China</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, United Republic of">Tanzania, United Republic of</option>
<option value="Thailand">Thailand</option>
<option value="Timor-leste">Timor-leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select><label class="StyledLabel-sc-vn5hkq-0 idUuwM fsSupportingSubLabel" for="field117739307-country">Country</label></div>
</div>
</span><label class="StyledLabel-sc-vn5hkq-0 fQPfAK fsLabelVertical fsFieldCell" id="label-field117739308" for="field117739308" data-testid="field-117739308"><a id="field-anchor-117739308" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Where do we send invoices if different than AP Contact?</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div><select size="1"
id="field117739308" type="select" label="Where do we send invoices if different than AP Contact?" required="" class="StyledSelectInput-sc-1qjysc9-0 llGEHw fsFieldSelect" name="field117739308" data-fs-field-id="117739308"
data-fs-field-name="select" data-fs-field-alias="*">
<option value=""></option>
<option value="Same as Billing">Same as Billing</option>
<option value="Add Invoice Email">Add Invoice Email</option>
</select>
</label><label class="StyledLabel-sc-vn5hkq-0 bquoTD fsLabelVertical fsFieldCell" id="label-field117739309" for="field117739309" data-testid="field-117739309"><a id="field-anchor-117739309" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Invoice Email</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 ebUzir"><input disabled="" id="field117739309" type="email" maxlength="" label="Invoice Email" autocomplete="email" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldEmail fsHidden" name="field117739309"
size="50" placeholder="" data-fs-field-id="117739309" data-fs-field-name="email" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 fQPfAK fsLabelVertical fsFieldCell" id="label-field117739310" for="field117739310" data-testid="field-117739310"><a id="field-anchor-117739310" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Where do we send Statements if different than AP Contact?</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div><select
size="1" id="field117739310" type="select" label="Where do we send Statements if different than AP Contact?" required="" class="StyledSelectInput-sc-1qjysc9-0 llGEHw fsFieldSelect" name="field117739310" data-fs-field-id="117739310"
data-fs-field-name="select" data-fs-field-alias="*">
<option value=""></option>
<option value="Same as Billing">Same as Billing</option>
<option value="Add Statement Email">Add Statement Email</option>
</select>
</label><label class="StyledLabel-sc-vn5hkq-0 bquoTD fsLabelVertical fsFieldCell" id="label-field117739311" for="field117739311" data-testid="field-117739311"><a id="field-anchor-117739311" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Statement Email</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 ebUzir"><input disabled="" id="field117739311" type="email" maxlength="" label="Statement Email" autocomplete="email" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldEmail fsHidden"
name="field117739311" size="50" placeholder="" data-fs-field-id="117739311" data-fs-field-name="email" data-fs-field-alias="value" value=""></div>
</div>
</label><span class="StyledLabel-sc-vn5hkq-0 iBGcmQ fsLabelVertical fsFieldCell" id="label-field129663208" for="field129663208" data-testid="field-129663208"><a id="field-anchor-129663208" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel"><span>Primary Shipping Address</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 LcBjZ fsSubField fsFieldAddress"><input autocomplete="address-line1" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field129663208-address" type="text" label="Primary Shipping Address"
name="field129663208-address" aria-required="false" data-fs-field-id="129663208" data-fs-field-name="address" data-fs-field-alias="address" value=""><label class="StyledLabel-sc-vn5hkq-0 idUuwM fsSupportingSubLabel"
for="field129663208-address">Address Line 1</label></div>
<div class="StyledSubField-sc-1wt4t9i-0 LcBjZ fsSubField fsFieldAddress2"><input autocomplete="address-line2" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field129663208-address2" type="text" label="Primary Shipping Address"
name="field129663208-address2" data-fs-field-id="129663208" data-fs-field-name="address" data-fs-field-alias="address2" value=""><label class="StyledLabel-sc-vn5hkq-0 idUuwM fsSupportingSubLabel" for="field129663208-address2">Address
Line 2</label></div>
<div width="55%" class="StyledSubField-sc-1wt4t9i-0 hWtSMS fsSubField fsFieldCity"><input autocomplete="address-level2" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field129663208-city" type="text" label="Primary Shipping Address"
name="field129663208-city" aria-required="false" data-fs-field-id="129663208" data-fs-field-name="address" data-fs-field-alias="city" value=""><label class="StyledLabel-sc-vn5hkq-0 idUuwM fsSupportingSubLabel"
for="field129663208-city">City</label></div>
<div width="30%" class="StyledSubField-sc-1wt4t9i-0 ewDBbd fsSubField fsFieldState"><input autocomplete="address-level1" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field129663208-state" type="text" label="Primary Shipping Address"
name="field129663208-state" aria-required="false" data-fs-field-id="129663208" data-fs-field-name="address" data-fs-field-alias="state" value=""><label class="StyledLabel-sc-vn5hkq-0 idUuwM fsSupportingSubLabel"
for="field129663208-state">State/Province</label></div>
<div width="10%" class="StyledSubField-sc-1wt4t9i-0 fcbnCL fsSubField fsFieldZip"><input autocomplete="postal-code" class="StyledInput-sc-1cxwxcf-0 lbJKLq" id="field129663208-zip" type="text" label="Primary Shipping Address"
name="field129663208-zip" aria-required="false" data-fs-field-id="129663208" data-fs-field-name="address" data-fs-field-alias="zip" value=""><label class="StyledLabel-sc-vn5hkq-0 idUuwM fsSupportingSubLabel" for="field129663208-zip">ZIP
/ Postal</label></div>
<div class="StyledSubField-sc-1wt4t9i-0 eoIViX"><select autocomplete="country" class="StyledSelectInput-sc-1qjysc9-0 llGEHw fsSubField fsFieldCountry" id="field129663208-country" type="address" label="Primary Shipping Address"
name="field129663208-country" aria-required="false" data-fs-field-id="129663208" data-fs-field-name="address" data-fs-field-alias="country">
<option value=""></option>
<option value="Afghanistan">Afghanistan</option>
<option value="Aland Islands">Aland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia, Plurinational State of">Bolivia, Plurinational State of</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, The Democratic Republic of the">Congo, The Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote d'Ivoire">Cote d'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-bissau">Guinea-bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and Mcdonald Islands">Heard Island and Mcdonald Islands</option>
<option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Democratic People\'s Republic of">Korea, Democratic People\'s Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People\'s Democratic Republic">Lao People\'s Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Republic of Macedonia">Republic of Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia, Federated States of">Micronesia, Federated States of</option>
<option value="Moldova, Republic of">Moldova, Republic of</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestinian Territory">Palestinian Territory</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Barthelemy">Saint Barthelemy</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syrian Arab Republic">Syrian Arab Republic</option>
<option value="Taiwan, Republic of China">Taiwan, Republic of China</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, United Republic of">Tanzania, United Republic of</option>
<option value="Thailand">Thailand</option>
<option value="Timor-leste">Timor-leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select><label class="StyledLabel-sc-vn5hkq-0 idUuwM fsSupportingSubLabel" for="field129663208-country">Country</label></div>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBGcmQ fsLabelVertical fsFieldCell" id="label-field117739312" for="field117739312" data-testid="field-117739312"><a id="field-anchor-117739312" tabindex="-1" aria-hidden="true"></a>
<div class="">
<p style="text-align: center;"><span style="font-size: 18px;">Our procedure will be to automatically forward the invoice to your specified email address once the part has shipped.</span></p>
<p style="text-align: center;"><span style="font-size: 18px;">If you require paper invoices, please specify in writing.</span></p>
<p style="text-align: center;"><span style="font-size: 18px;">Copies of invoices may be requested
at </span><a href="mailto:accountsreceivable@sourceonespares.com" rel="noopener noreferrer" target="_blank"><span style="font-size: 18px;">accountsreceivable@sourceonespares.com</span></a></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBGcmQ fsLabelVertical fsFieldCell" id="label-field117739313" for="field117739313" data-testid="field-117739313"><a id="field-anchor-117739313" tabindex="-1" aria-hidden="true"></a>
<div class="">
<p><br></p>
<p><br></p>
<p><strong><span style="color: rgb(41, 105, 176); font-size: 24px;">Upload Additional Files</span></strong></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 fQPfAK fsLabelVertical fsFieldCell" id="label-field117739314" for="field117739314" data-testid="field-117739314-horizontal"><a id="field-anchor-117739314" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel"><span>Please select the number of files to upload</span></div>
<fieldset aria-labelledby="117739314-legend" role="radiogroup" aria-required="false" class="StyledFieldset-sc-1r8yz9c-0 StyledOptionWrapper-sc-1ah0fdf-0 cdlqHK glshJU"><span
style="position: absolute; left: -999em; width: 0.1em; height: 0.1em; overflow: hidden;">
<legend id="117739314-legend">Please select the number of files to upload</legend>
</span>
<div><label for="field117739314_1" class="StyledOptionLabel-sc-1bymt4x-0 jVTGpf fsOptionLabel"><input label="Please select the number of files to upload" class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio" name="field117739314"
id="field117739314_1" data-fs-field-id="117739314" data-fs-field-name="radio" data-fs-field-alias="*" value="1">1</label></div>
<div><label for="field117739314_2" class="StyledOptionLabel-sc-1bymt4x-0 jVTGpf fsOptionLabel"><input label="Please select the number of files to upload" class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio" name="field117739314"
id="field117739314_2" data-fs-field-id="117739314" data-fs-field-name="radio" data-fs-field-alias="*" value="2">2</label></div>
<div><label for="field117739314_3" class="StyledOptionLabel-sc-1bymt4x-0 jVTGpf fsOptionLabel"><input label="Please select the number of files to upload" class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio" name="field117739314"
id="field117739314_3" data-fs-field-id="117739314" data-fs-field-name="radio" data-fs-field-alias="*" value="3">3</label></div>
<div><label for="field117739314_4" class="StyledOptionLabel-sc-1bymt4x-0 jVTGpf fsOptionLabel"><input label="Please select the number of files to upload" class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio" name="field117739314"
id="field117739314_4" data-fs-field-id="117739314" data-fs-field-name="radio" data-fs-field-alias="*" value="4">4</label></div>
<div><label for="field117739314_5" class="StyledOptionLabel-sc-1bymt4x-0 jVTGpf fsOptionLabel"><input label="Please select the number of files to upload" class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio" name="field117739314"
id="field117739314_5" data-fs-field-id="117739314" data-fs-field-name="radio" data-fs-field-alias="*" value="5">5</label></div>
</fieldset>
</span><label class="StyledLabel-sc-vn5hkq-0 hIHvma fsLabelVertical fsFieldCell" id="label-field117739315" for="field117739315" data-testid="field-117739315"><a id="field-anchor-117739315" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Document</span></div>
<div class="AsyncFileUploadstyles__StyledDragAndDropContainer-sc-wvu5q-0 gYlCmx">
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</path>
</svg>
<div class="AsyncFileUploadstyles__StyledDragAndDropText-sc-wvu5q-2 ftAmkp">Drag and drop here or <button data-testid="browse-files-117739315"
class="UnstyledButton-sc-1wod56h-0 AsyncFileUploadstyles__StyledBrowseButton-sc-wvu5q-9 dApaXv bVaRyU">Browse files</button></div>
<div class="AsyncFileUploadstyles__StyledSupportingText-sc-wvu5q-3 fZYiXZ">Max file size: 10 MB</div>
</div>
</div><input type="file" class="fsHidden fsFieldFile" name="" id="file-upload-field117739315" accept="jpg,jpeg,gif,png,bmp,tif,psd,pdf,doc,docx,csv,xls,xlsx,txt,mp3,mp4,aac,wav,au,wmv,avi,mpg,mpeg,zip,gz,rar,z,tgz,tar,sitx" aria-hidden="true"
data-fs-field-id="117739315" data-fs-field-name="file" data-fs-field-alias="*" style="display: none;">
</label><label class="StyledLabel-sc-vn5hkq-0 hIHvma fsLabelVertical fsFieldCell" id="label-field117739316" for="field117739316" data-testid="field-117739316"><a id="field-anchor-117739316" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Document </span></div>
<div class="AsyncFileUploadstyles__StyledDragAndDropContainer-sc-wvu5q-0 gYlCmx">
<div class="AsyncFileUploadstyles__StyledContentWrapper-sc-wvu5q-1 jyvZzY"><svg width="22" height="22" xmlns="http://www.w3.org/2000/svg" fill="#080101">
<path
d="M5.73 18.333c-1.313 0-2.444-.473-3.391-1.42-.947-.948-1.421-2.078-1.421-3.392 0-1.192.378-2.242 1.134-3.151.757-.91 1.73-1.456 2.922-1.639C5.28 7.25 5.998 6.038 7.128 5.1c1.13-.94 2.437-1.41 3.92-1.41 1.726 0 3.173.623 4.342 1.868 1.169 1.245 1.753 2.739 1.753 4.48v.55c1.1-.03 2.032.325 2.796 1.066.764.741 1.146 1.677 1.146 2.807 0 1.054-.382 1.963-1.146 2.727-.764.764-1.673 1.146-2.727 1.146h-5.523a1.32 1.32 0 01-.963-.412 1.32 1.32 0 01-.412-.963v-5.912l-1.421 1.42a.62.62 0 01-.481.195.703.703 0 01-.482-.217.672.672 0 01-.206-.493c0-.191.069-.355.206-.493l2.59-2.59a.697.697 0 01.23-.16.673.673 0 01.251-.046c.092 0 .176.016.252.046.077.03.153.084.23.16l2.612 2.613a.66.66 0 01.206.481.66.66 0 01-.206.482.673.673 0 01-.493.206.673.673 0 01-.492-.206l-1.421-1.398v5.912h5.523c.687 0 1.275-.244 1.764-.733a2.406 2.406 0 00.734-1.765c0-.687-.245-1.275-.734-1.764a2.406 2.406 0 00-1.764-.734h-1.444v-1.925c0-1.36-.462-2.528-1.386-3.506-.925-.978-2.067-1.467-3.426-1.467-1.36 0-2.506.49-3.438 1.467-.932.978-1.398 2.147-1.398 3.506h-.435c-.948 0-1.75.333-2.407.997-.657.665-.985 1.486-.985 2.464 0 .947.336 1.76 1.008 2.44.673.68 1.482 1.02 2.43 1.02h2.52a.668.668 0 01.688.688.668.668 0 01-.688.687h-2.52z">
</path>
</svg>
<div class="AsyncFileUploadstyles__StyledDragAndDropText-sc-wvu5q-2 ftAmkp">Drag and drop here or <button data-testid="browse-files-117739316"
class="UnstyledButton-sc-1wod56h-0 AsyncFileUploadstyles__StyledBrowseButton-sc-wvu5q-9 dApaXv bVaRyU">Browse files</button></div>
<div class="AsyncFileUploadstyles__StyledSupportingText-sc-wvu5q-3 fZYiXZ">Max file size: 10 MB</div>
</div>
</div><input type="file" class="fsHidden fsFieldFile" name="" id="file-upload-field117739316" accept="jpg,jpeg,gif,png,bmp,tif,psd,pdf,doc,docx,csv,xls,xlsx,txt,mp3,mp4,aac,wav,au,wmv,avi,mpg,mpeg,zip,gz,rar,z,tgz,tar,sitx" aria-hidden="true"
data-fs-field-id="117739316" data-fs-field-name="file" data-fs-field-alias="*" style="display: none;">
</label><label class="StyledLabel-sc-vn5hkq-0 hIHvma fsLabelVertical fsFieldCell" id="label-field117739317" for="field117739317" data-testid="field-117739317"><a id="field-anchor-117739317" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Document </span></div>
<div class="AsyncFileUploadstyles__StyledDragAndDropContainer-sc-wvu5q-0 gYlCmx">
<div class="AsyncFileUploadstyles__StyledContentWrapper-sc-wvu5q-1 jyvZzY"><svg width="22" height="22" xmlns="http://www.w3.org/2000/svg" fill="#080101">
<path
d="M5.73 18.333c-1.313 0-2.444-.473-3.391-1.42-.947-.948-1.421-2.078-1.421-3.392 0-1.192.378-2.242 1.134-3.151.757-.91 1.73-1.456 2.922-1.639C5.28 7.25 5.998 6.038 7.128 5.1c1.13-.94 2.437-1.41 3.92-1.41 1.726 0 3.173.623 4.342 1.868 1.169 1.245 1.753 2.739 1.753 4.48v.55c1.1-.03 2.032.325 2.796 1.066.764.741 1.146 1.677 1.146 2.807 0 1.054-.382 1.963-1.146 2.727-.764.764-1.673 1.146-2.727 1.146h-5.523a1.32 1.32 0 01-.963-.412 1.32 1.32 0 01-.412-.963v-5.912l-1.421 1.42a.62.62 0 01-.481.195.703.703 0 01-.482-.217.672.672 0 01-.206-.493c0-.191.069-.355.206-.493l2.59-2.59a.697.697 0 01.23-.16.673.673 0 01.251-.046c.092 0 .176.016.252.046.077.03.153.084.23.16l2.612 2.613a.66.66 0 01.206.481.66.66 0 01-.206.482.673.673 0 01-.493.206.673.673 0 01-.492-.206l-1.421-1.398v5.912h5.523c.687 0 1.275-.244 1.764-.733a2.406 2.406 0 00.734-1.765c0-.687-.245-1.275-.734-1.764a2.406 2.406 0 00-1.764-.734h-1.444v-1.925c0-1.36-.462-2.528-1.386-3.506-.925-.978-2.067-1.467-3.426-1.467-1.36 0-2.506.49-3.438 1.467-.932.978-1.398 2.147-1.398 3.506h-.435c-.948 0-1.75.333-2.407.997-.657.665-.985 1.486-.985 2.464 0 .947.336 1.76 1.008 2.44.673.68 1.482 1.02 2.43 1.02h2.52a.668.668 0 01.688.688.668.668 0 01-.688.687h-2.52z">
</path>
</svg>
<div class="AsyncFileUploadstyles__StyledDragAndDropText-sc-wvu5q-2 ftAmkp">Drag and drop here or <button data-testid="browse-files-117739317"
class="UnstyledButton-sc-1wod56h-0 AsyncFileUploadstyles__StyledBrowseButton-sc-wvu5q-9 dApaXv bVaRyU">Browse files</button></div>
<div class="AsyncFileUploadstyles__StyledSupportingText-sc-wvu5q-3 fZYiXZ">Max file size: 10 MB</div>
</div>
</div><input type="file" class="fsHidden fsFieldFile" name="" id="file-upload-field117739317" accept="jpg,jpeg,gif,png,bmp,tif,psd,pdf,doc,docx,csv,xls,xlsx,txt,mp3,mp4,aac,wav,au,wmv,avi,mpg,mpeg,zip,gz,rar,z,tgz,tar,sitx" aria-hidden="true"
data-fs-field-id="117739317" data-fs-field-name="file" data-fs-field-alias="*" style="display: none;">
</label><label class="StyledLabel-sc-vn5hkq-0 hIHvma fsLabelVertical fsFieldCell" id="label-field117739318" for="field117739318" data-testid="field-117739318"><a id="field-anchor-117739318" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Document</span></div>
<div class="AsyncFileUploadstyles__StyledDragAndDropContainer-sc-wvu5q-0 gYlCmx">
<div class="AsyncFileUploadstyles__StyledContentWrapper-sc-wvu5q-1 jyvZzY"><svg width="22" height="22" xmlns="http://www.w3.org/2000/svg" fill="#080101">
<path
d="M5.73 18.333c-1.313 0-2.444-.473-3.391-1.42-.947-.948-1.421-2.078-1.421-3.392 0-1.192.378-2.242 1.134-3.151.757-.91 1.73-1.456 2.922-1.639C5.28 7.25 5.998 6.038 7.128 5.1c1.13-.94 2.437-1.41 3.92-1.41 1.726 0 3.173.623 4.342 1.868 1.169 1.245 1.753 2.739 1.753 4.48v.55c1.1-.03 2.032.325 2.796 1.066.764.741 1.146 1.677 1.146 2.807 0 1.054-.382 1.963-1.146 2.727-.764.764-1.673 1.146-2.727 1.146h-5.523a1.32 1.32 0 01-.963-.412 1.32 1.32 0 01-.412-.963v-5.912l-1.421 1.42a.62.62 0 01-.481.195.703.703 0 01-.482-.217.672.672 0 01-.206-.493c0-.191.069-.355.206-.493l2.59-2.59a.697.697 0 01.23-.16.673.673 0 01.251-.046c.092 0 .176.016.252.046.077.03.153.084.23.16l2.612 2.613a.66.66 0 01.206.481.66.66 0 01-.206.482.673.673 0 01-.493.206.673.673 0 01-.492-.206l-1.421-1.398v5.912h5.523c.687 0 1.275-.244 1.764-.733a2.406 2.406 0 00.734-1.765c0-.687-.245-1.275-.734-1.764a2.406 2.406 0 00-1.764-.734h-1.444v-1.925c0-1.36-.462-2.528-1.386-3.506-.925-.978-2.067-1.467-3.426-1.467-1.36 0-2.506.49-3.438 1.467-.932.978-1.398 2.147-1.398 3.506h-.435c-.948 0-1.75.333-2.407.997-.657.665-.985 1.486-.985 2.464 0 .947.336 1.76 1.008 2.44.673.68 1.482 1.02 2.43 1.02h2.52a.668.668 0 01.688.688.668.668 0 01-.688.687h-2.52z">
</path>
</svg>
<div class="AsyncFileUploadstyles__StyledDragAndDropText-sc-wvu5q-2 ftAmkp">Drag and drop here or <button data-testid="browse-files-117739318"
class="UnstyledButton-sc-1wod56h-0 AsyncFileUploadstyles__StyledBrowseButton-sc-wvu5q-9 dApaXv bVaRyU">Browse files</button></div>
<div class="AsyncFileUploadstyles__StyledSupportingText-sc-wvu5q-3 fZYiXZ">Max file size: 10 MB</div>
</div>
</div><input type="file" class="fsHidden fsFieldFile" name="" id="file-upload-field117739318" accept="jpg,jpeg,gif,png,bmp,tif,psd,pdf,doc,docx,csv,xls,xlsx,txt,mp3,mp4,aac,wav,au,wmv,avi,mpg,mpeg,zip,gz,rar,z,tgz,tar,sitx" aria-hidden="true"
data-fs-field-id="117739318" data-fs-field-name="file" data-fs-field-alias="*" style="display: none;">
</label><label class="StyledLabel-sc-vn5hkq-0 hIHvma fsLabelVertical fsFieldCell" id="label-field117739319" for="field117739319" data-testid="field-117739319"><a id="field-anchor-117739319" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Document</span></div>
<div class="AsyncFileUploadstyles__StyledDragAndDropContainer-sc-wvu5q-0 gYlCmx">
<div class="AsyncFileUploadstyles__StyledContentWrapper-sc-wvu5q-1 jyvZzY"><svg width="22" height="22" xmlns="http://www.w3.org/2000/svg" fill="#080101">
<path
d="M5.73 18.333c-1.313 0-2.444-.473-3.391-1.42-.947-.948-1.421-2.078-1.421-3.392 0-1.192.378-2.242 1.134-3.151.757-.91 1.73-1.456 2.922-1.639C5.28 7.25 5.998 6.038 7.128 5.1c1.13-.94 2.437-1.41 3.92-1.41 1.726 0 3.173.623 4.342 1.868 1.169 1.245 1.753 2.739 1.753 4.48v.55c1.1-.03 2.032.325 2.796 1.066.764.741 1.146 1.677 1.146 2.807 0 1.054-.382 1.963-1.146 2.727-.764.764-1.673 1.146-2.727 1.146h-5.523a1.32 1.32 0 01-.963-.412 1.32 1.32 0 01-.412-.963v-5.912l-1.421 1.42a.62.62 0 01-.481.195.703.703 0 01-.482-.217.672.672 0 01-.206-.493c0-.191.069-.355.206-.493l2.59-2.59a.697.697 0 01.23-.16.673.673 0 01.251-.046c.092 0 .176.016.252.046.077.03.153.084.23.16l2.612 2.613a.66.66 0 01.206.481.66.66 0 01-.206.482.673.673 0 01-.493.206.673.673 0 01-.492-.206l-1.421-1.398v5.912h5.523c.687 0 1.275-.244 1.764-.733a2.406 2.406 0 00.734-1.765c0-.687-.245-1.275-.734-1.764a2.406 2.406 0 00-1.764-.734h-1.444v-1.925c0-1.36-.462-2.528-1.386-3.506-.925-.978-2.067-1.467-3.426-1.467-1.36 0-2.506.49-3.438 1.467-.932.978-1.398 2.147-1.398 3.506h-.435c-.948 0-1.75.333-2.407.997-.657.665-.985 1.486-.985 2.464 0 .947.336 1.76 1.008 2.44.673.68 1.482 1.02 2.43 1.02h2.52a.668.668 0 01.688.688.668.668 0 01-.688.687h-2.52z">
</path>
</svg>
<div class="AsyncFileUploadstyles__StyledDragAndDropText-sc-wvu5q-2 ftAmkp">Drag and drop here or <button data-testid="browse-files-117739319"
class="UnstyledButton-sc-1wod56h-0 AsyncFileUploadstyles__StyledBrowseButton-sc-wvu5q-9 dApaXv bVaRyU">Browse files</button></div>
<div class="AsyncFileUploadstyles__StyledSupportingText-sc-wvu5q-3 fZYiXZ">Max file size: 10 MB</div>
</div>
</div><input type="file" class="fsHidden fsFieldFile" name="" id="file-upload-field117739319" accept="jpg,jpeg,gif,png,bmp,tif,psd,pdf,doc,docx,csv,xls,xlsx,txt,mp3,mp4,aac,wav,au,wmv,avi,mpg,mpeg,zip,gz,rar,z,tgz,tar,sitx" aria-hidden="true"
data-fs-field-id="117739319" data-fs-field-name="file" data-fs-field-alias="*" style="display: none;">
</label><span class="StyledLabel-sc-vn5hkq-0 fQPfAK fsLabelVertical fsFieldCell" id="label-field129469195" for="field129469195" data-testid="field-129469195-vertical"><a id="field-anchor-129469195" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Would you like to provide bank information in the case we need to send you a refund?</span><span
class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<fieldset aria-labelledby="129469195-legend" role="radiogroup" aria-required="true" class="StyledFieldset-sc-1r8yz9c-0 StyledOptionWrapper-sc-1ah0fdf-0 cdlqHK PSYyM"><span
style="position: absolute; left: -999em; width: 0.1em; height: 0.1em; overflow: hidden;">
<legend id="129469195-legend">Would you like to provide bank information in the case we need to send you a refund?</legend>
</span>
<div><label for="field129469195_1" class="StyledOptionLabel-sc-1bymt4x-0 dMckBU fsOptionLabel"><input label="Would you like to provide bank information in the case we need to send you a refund?" required=""
class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio" name="field129469195" id="field129469195_1" data-fs-field-id="129469195" data-fs-field-name="radio" data-fs-field-alias="*" value="Yes">Yes</label></div>
<div><label for="field129469195_2" class="StyledOptionLabel-sc-1bymt4x-0 dMckBU fsOptionLabel"><input label="Would you like to provide bank information in the case we need to send you a refund?" required=""
class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio" name="field129469195" id="field129469195_2" data-fs-field-id="129469195" data-fs-field-name="radio" data-fs-field-alias="*" value="No">No</label></div>
</fieldset>
</span><span class="StyledLabel-sc-vn5hkq-0 dcnZPJ fsLabelVertical fsFieldCell" id="label-field117739320" for="field117739320" data-testid="field-117739320"><a id="field-anchor-117739320" tabindex="-1" aria-hidden="true"></a>
<div class="fsHidden">
<p><br></p>
<hr>
<p><strong><span style="color: rgb(41, 105, 176); font-size: 24px;">Bank References</span></strong> (must be completed if applying for terms)</p>
</div>
</span><label class="StyledLabel-sc-vn5hkq-0 bquoTD fsLabelVertical fsFieldCell" id="label-field117739321" for="field117739321" data-testid="field-117739321"><a id="field-anchor-117739321" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden fsRequiredLabel"><span>Banking Institution Name</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" disabled="" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer fsHidden" id="field117739321" type="text" label="Banking Institution Name" required=""
name="field117739321" placeholder="" data-fs-field-id="117739321" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 bquoTD fsLabelVertical fsFieldCell" id="label-field117739322" for="field117739322" data-testid="field-117739322"><a id="field-anchor-117739322" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden fsRequiredLabel"><span>Routing/ABA # for both Wire and ACH</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" disabled="" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer fsHidden" id="field117739322" type="text" label="Routing/ABA # for both Wire and ACH" required=""
name="field117739322" placeholder="" data-fs-field-id="117739322" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 bquoTD fsLabelVertical fsFieldCell" id="label-field117739323" for="field117739323" data-testid="field-117739323"><a id="field-anchor-117739323" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Bank Street Address</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" disabled="" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer fsHidden" id="field117739323" type="text" label="Bank Street Address" name="field117739323"
placeholder="" data-fs-field-id="117739323" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 bquoTD fsLabelVertical fsFieldCell" id="label-field117739324" for="field117739324" data-testid="field-117739324"><a id="field-anchor-117739324" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden fsRequiredLabel"><span>Account # or IBAN</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" disabled="" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer fsHidden" id="field117739324" type="text" label="Account # or IBAN" required=""
name="field117739324" placeholder="" data-fs-field-id="117739324" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 bquoTD fsLabelVertical fsFieldCell" id="label-field117739325" for="field117739325" data-testid="field-117739325"><a id="field-anchor-117739325" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden fsRequiredLabel"><span>City, State, Zip, Country</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" disabled="" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer fsHidden" id="field117739325" type="text" label="City, State, Zip, Country" required=""
name="field117739325" placeholder="" data-fs-field-id="117739325" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><span class="StyledLabel-sc-vn5hkq-0 bquoTD fsLabelVertical fsFieldCell" id="label-field117739326" for="field117739326" data-testid="field-117739326"><a id="field-anchor-117739326" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Contact Name</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gyqBeY fsSubField fsNameFirst"><input autocomplete="given-name" disabled="" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsHidden" id="field117739326-first" type="text" label="Contact Name" maxlength="20"
name="field117739326-first" data-fs-field-id="117739326" data-fs-field-name="name" data-fs-field-alias="first" value=""><label for="field117739326-first" class="StyledLabel-sc-vn5hkq-0 idUuwM">First Name</label></div>
<div class="StyledSubField-sc-1wt4t9i-0 gyqBeY fsSubField fsNameLast"><input autocomplete="family-name" disabled="" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsHidden" id="field117739326-last" type="text" label="Contact Name" maxlength="20"
name="field117739326-last" data-fs-field-id="117739326" data-fs-field-name="name" data-fs-field-alias="last" value=""><label for="field117739326-last" class="StyledLabel-sc-vn5hkq-0 idUuwM">Last Name</label></div>
</div>
</span><label class="StyledLabel-sc-vn5hkq-0 bquoTD fsLabelVertical fsFieldCell" id="label-field117739327" for="field117739327" data-testid="field-117739327"><a id="field-anchor-117739327" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Swift Code and Sort Code</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" disabled="" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer fsHidden" id="field117739327" type="text" label="Swift Code and Sort Code" name="field117739327"
placeholder="" data-fs-field-id="117739327" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 bquoTD fsLabelVertical fsFieldCell" id="label-field117739328" for="field117739328" data-testid="field-117739328"><a id="field-anchor-117739328" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Contact Email</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 ebUzir"><input disabled="" id="field117739328" type="email" maxlength="" label="Contact Email" autocomplete="email" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldEmail fsHidden" name="field117739328"
size="50" placeholder="" data-fs-field-id="117739328" data-fs-field-name="email" data-fs-field-alias="value" value=""></div>
</div>
</label><span class="StyledLabel-sc-vn5hkq-0 fQPfAK fsLabelVertical fsFieldCell" id="label-field129469389" for="field129469389" data-testid="field-129469389-vertical"><a id="field-anchor-129469389" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Are you applying for terms? If no, all sales are CIA</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<fieldset aria-labelledby="129469389-legend" role="radiogroup" aria-required="true" class="StyledFieldset-sc-1r8yz9c-0 StyledOptionWrapper-sc-1ah0fdf-0 cdlqHK PSYyM"><span
style="position: absolute; left: -999em; width: 0.1em; height: 0.1em; overflow: hidden;">
<legend id="129469389-legend">Are you applying for terms? If no, all sales are CIA</legend>
</span>
<div><label for="field129469389_1" class="StyledOptionLabel-sc-1bymt4x-0 dMckBU fsOptionLabel"><input label="Are you applying for terms? If no, all sales are CIA" required="" class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio"
name="field129469389" id="field129469389_1" data-fs-field-id="129469389" data-fs-field-name="radio" data-fs-field-alias="*" value="Yes">Yes</label></div>
<div><label for="field129469389_2" class="StyledOptionLabel-sc-1bymt4x-0 dMckBU fsOptionLabel"><input label="Are you applying for terms? If no, all sales are CIA" required="" class="StyledOptionButton-sc-wqe0tc-0 imLeAj" type="radio"
name="field129469389" id="field129469389_2" data-fs-field-id="129469389" data-fs-field-name="radio" data-fs-field-alias="*" value="No">No</label></div>
</fieldset>
</span><span class="StyledLabel-sc-vn5hkq-0 dcnZPJ fsLabelVertical fsFieldCell" id="label-field117739329" for="field117739329" data-testid="field-117739329"><a id="field-anchor-117739329" tabindex="-1" aria-hidden="true"></a>
<div class="fsHidden">
<p><br></p>
<hr>
<p><strong><span style="color: rgb(41, 105, 176); font-size: 24px;">Credit References</span></strong> (must be completed if applying for terms)</p>
</div>
</span><label class="StyledLabel-sc-vn5hkq-0 hSMXOs fsLabelVertical fsFieldCell" id="label-field117739330" for="field117739330" data-testid="field-117739330"><a id="field-anchor-117739330" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Company Name</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" disabled="" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer fsHidden" id="field117739330" type="text" label="Company Name" name="field117739330"
placeholder="" data-fs-field-id="117739330" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 hSMXOs fsLabelVertical fsFieldCell" id="label-field117739331" for="field117739331" data-testid="field-117739331"><a id="field-anchor-117739331" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Phone</span></div><input autocomplete="tel" disabled="" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldPhone fsHidden" name="field117739331" id="field117739331"
data-testid="field117739331" placeholder="" type="tel" data-fs-field-id="117739331" data-fs-field-name="phone" data-fs-field-alias="*" value="">
</label><label class="StyledLabel-sc-vn5hkq-0 hSMXOs fsLabelVertical fsFieldCell" id="label-field117739332" for="field117739332" data-testid="field-117739332"><a id="field-anchor-117739332" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Email</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 ebUzir"><input disabled="" id="field117739332" type="email" maxlength="" label="Email" autocomplete="email" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldEmail fsHidden" name="field117739332"
size="50" placeholder="" data-fs-field-id="117739332" data-fs-field-name="email" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 hSMXOs fsLabelVertical fsFieldCell" id="label-field117739333" for="field117739333" data-testid="field-117739333"><a id="field-anchor-117739333" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Contact Name/Acct #</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" disabled="" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer fsHidden" id="field117739333" type="text" label="Contact Name/Acct #" name="field117739333"
placeholder="" data-fs-field-id="117739333" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 hSMXOs fsLabelVertical fsFieldCell" id="label-field117739334" for="field117739334" data-testid="field-117739334"><a id="field-anchor-117739334" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Company Name</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" disabled="" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer fsHidden" id="field117739334" type="text" label="Company Name" name="field117739334"
placeholder="" data-fs-field-id="117739334" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 hSMXOs fsLabelVertical fsFieldCell" id="label-field117739335" for="field117739335" data-testid="field-117739335"><a id="field-anchor-117739335" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Phone</span></div><input autocomplete="tel" disabled="" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldPhone fsHidden" name="field117739335" id="field117739335"
data-testid="field117739335" placeholder="" type="tel" data-fs-field-id="117739335" data-fs-field-name="phone" data-fs-field-alias="*" value="">
</label><label class="StyledLabel-sc-vn5hkq-0 hSMXOs fsLabelVertical fsFieldCell" id="label-field117739336" for="field117739336" data-testid="field-117739336"><a id="field-anchor-117739336" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Email</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 ebUzir"><input disabled="" id="field117739336" type="email" maxlength="" label="Email" autocomplete="email" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldEmail fsHidden" name="field117739336"
size="50" placeholder="" data-fs-field-id="117739336" data-fs-field-name="email" data-fs-field-alias="value" value=""></div>
</div>
</label><label class="StyledLabel-sc-vn5hkq-0 hSMXOs fsLabelVertical fsFieldCell" id="label-field117739337" for="field117739337" data-testid="field-117739337"><a id="field-anchor-117739337" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsHidden"><span>Contact Name/Acct #</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" disabled="" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer fsHidden" id="field117739337" type="text" label="Contact Name/Acct #" name="field117739337"
placeholder="" data-fs-field-id="117739337" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label>
</div>
<div data-testid="section117739338-col2" id="fsSection117739338" class="StyledSection-sc-1jyjf4h-0 feEXUs fsSection">
<div class="StyledSectionHeader-sc-14xa0k7-0 iAafzA fsSectionHeader">
<h2 class="StyledSectionHeading-sc-hpb4sc-0 eBtlc fsSectionHeading">Customer Terms and Conditions of Sale</h2>
</div><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739339" for="field117739339" data-testid="field-117739339"><a id="field-anchor-117739339" tabindex="-1" aria-hidden="true"></a>
<div class="">
<p><span style="font-family: "Times New Roman", Times, serif, -webkit-standard; font-size: 14px;">All descriptions, quotations, proposals, offers, acknowledgments, acceptances, and sales of Source One Spares' products are subject
to and governed exclusively by the provisions of this CUSTOMER TERMS AND CONDITIONS OF SALE ("Agreement”). Any terms and conditions that are amended, modified, added to, or are inconsistent with this Agreement between Customer and
Source One Spares shall not become a part of the Agreement unless they specifically state that it amends these Terms and Conditions and are agreed to in writing and signed by an authorized representative of both parties.
By issuing a purchase order, placing an order by email, delivery of such parts, Customer hereby expressly agrees to the terms and conditions set forth below.</span></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739340" for="field117739340" data-testid="field-117739340"><a id="field-anchor-117739340" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h1><span style="font-size: 14px;">1. PAYMENT TERMS</span></h1>
<p><span style="font-size: 14px;"><span style="font-family: "Times New Roman", Times, serif, -webkit-standard;">Unless otherwise stated on the Invoice and signed by an authorized representative of Source One Spares, LLC, payment
terms are net thirty (30) days from the date of the Invoice (<em>not receipt date</em>) contingent on credit approval. Source One sends all Invoices to the Customer’s specified email at shipment. The Customer shall submit
any Invoice dispute to Source One Spares within thirty (30) days of the Invoice date or the Invoice will be deemed to be correct. Source One may require deposits or advance payment from Customers prior to shipment. Unless otherwise
agreed to in writing, all payments shall be non−refundable. Customer shall pay to Source One an amount equal to all taxes paid, payable or required to be collected by Source One and shall pay all bank fees, wire transfer fees and
other costs of payment transfers.</span></span></p>
<p><span style="font-size: 14px; font-family: "Times New Roman", Times, serif, -webkit-standard;">Customer shall submit payment details to Source One Spares at
<a href="mailto:accountsreceivable@sourceonespares.com">accountsreceivable@sourceonespares.com</a> to permit posting of the payment to the proper Invoices or purchase orders. In the absence of such payment advice, Source One may
apply payments to any outstanding amount owed by Customer. All payments must be made in USD$ currency to the bank account designated on the invoice via wire, ACH, check or credit card. All payments must be in
<u>full </u>without deductions for wire fees or other offsets. Past due balances are subject to finance charges, interest, and collection fees at the discretion of Source One Spares. Source One Spares also reserves the
right to issue and revoke credit to a customer for any reason at its sole discretion. Should collection efforts be required, it will be at the Customer's expense which can be up to an additional 30% of the original invoice
amount.</span></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739443" for="field117739443" data-testid="field-117739443"><a id="field-anchor-117739443" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h1><span style="font-size: 14px;">2. TITLE</span></h1>
<p><span style="font-size: 14px; font-family: "Times New Roman", Times, serif, -webkit-standard;">Title is reserved. Ownership of goods does not pass to the buyer until the Customer has made payment in full.</span></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739454" for="field117739454" data-testid="field-117739454"><a id="field-anchor-117739454" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h1><span style="font-size: 14px;">3. ORDERING INFORMATION</span></h1>
<p><span style="font-size: 14px;"><span style="font-family: "Times New Roman", Times, serif, -webkit-standard;">All orders must be made or confirmed in writing or by electronic data interface and are subject to approval and
confirmation upon receipt by Source One Spares. Cancellation of orders may not be made without the written consent of Source One. Cancellation may result in a restocking fee if due to no fault of Source One Spares and cancelled
after 24 hours. </span></span><span style="color: rgb(226, 80, 65); font-size: 14px; font-family: "Times New Roman", Times, serif, -webkit-standard;">The minimum purchase order is $1,500.00.</span></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739494" for="field117739494" data-testid="field-117739494"><a id="field-anchor-117739494" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h1><span style="font-size: 14px;">4. RETURN AND EXCHANGE</span></h1>
<p><span style="font-size: 14px; font-family: "Times New Roman", Times, serif, -webkit-standard;">It is the Customer’s responsibility to inspect the part within a timely manner including ensuring it can be installed and is in
working order. Goods which are supplied incorrectly may be returned within a 30-day period for exchange or refund. Goods which are supplied correctly may be returned within a 30-day period for exchange or refund, but are subject
to a 25% restocking fee. To request a return, submit a Return Authorization Request. Thisis to ensure all returns are handled timely and correctly. Return shipping and export costs for correctly processed orders are the responsibility
of the Customer. Source One Spares will issue an RMA with shipping instructions for all approved Return Authorizations. In all cases, goods shall be returned in resalable condition complete with the original packaging, labels,
original paperwork, and is subject to acceptance by Source One Spares. Any costs required to return and bring the part back to the condition as originally shipped to the customer will be at the customer's expense. The part can be
evaluated for repair guarantees up to one year after shipment. Credit will be issued when the part has been received at our facility and inspected.</span></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739522" for="field117739522" data-testid="field-117739522"><a id="field-anchor-117739522" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h1><span style="font-size: 14px;">5. PRICING</span></h1>
<p><span style="font-size: 14px; font-family: "Times New Roman", Times, serif, -webkit-standard;">All prices shown on the Quote, Sales Order, Proforma and/or Invoice are in United States Dollars and Ex-Works origin. Import duties
imposed by countries other than the United States are not included in the published prices. Unless specifically set forth otherwise, Product prices do not include freight or taxes if applicable. Freight charges are the express
responsibility of the Customer. Freight charges may include but are not limited to transportation to the Customer's designated facility, insurance, custom duties, tariffs, taxes, etc.</span></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739527" for="field117739527" data-testid="field-117739527"><a id="field-anchor-117739527" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h1><span style="font-size: 14px;">6. INSURANCE</span></h1>
<p><span style="font-size: 14px; font-family: "Times New Roman", Times, serif, -webkit-standard;">All products are shipped Ex-Works origin. Source One Spares does not insure shipments. Customers may purchase freight insurance
directly from an outside insurance provider. The Customer assumes all risk of loss and/or damage upon shipment by Source One Spares.</span></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739531" for="field117739531" data-testid="field-117739531"><a id="field-anchor-117739531" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h1><span style="font-size: 14px;">7. DELIVERY</span></h1>
<p><span style="font-size: 14px; font-family: "Times New Roman", Times, serif, -webkit-standard;">The terms of delivery are Ex-Works origin. The risk of loss passes to the Customer upon delivery of the Products to the Customer or
their carrier, whichever occurs first. Source One Spares is not responsible for delays in delivery or non-performance resulting from causes beyond Source One Spares' control ("Events of Force Majeure"). Events of Force Majeure shall
include, without limitation, laws, acts, rules or regulations of any government or government agency, government embargoes or any other government acts causing interference with performance, blockades, seizure or detention of assets,
delays or refusals to grant export licenses or the suspension or revocation thereof, accidents, fires, floods, severe weather conditions, acts of God, quarantines or regional medical crisis, armed conflict, terrorism, war, labor strikes
or disputes, delays or failures in delivery of carriers or suppliers, shortages of material, and any other cause beyond Source One Spares' control. Source One Spares' time for delivery, or any other performance, shall be extended by the
period of time Source One Spares is delayed. IN NO EVENT SHALL SOURCE ONE SPARES BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL, OR SPECIAL DAMAGES ARISING FROM OR RELATING TO A DELAY OR FAILURE TO DELIVER.</span></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739537" for="field117739537" data-testid="field-117739537"><a id="field-anchor-117739537" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h1><span style="font-size: 14px;">8. INTERNATIONAL SHIPMENTS</span></h1>
<p><span style="font-size: 14px; font-family: "Times New Roman", Times, serif, -webkit-standard;">The Customer pays all shipping, insurance and customs fees, and assumes responsibility for lost shipments to countries that do not
insure shipments within their borders. In the case of shipments to countries that restrict an item from import, it is the Customer's responsibility if their customs confiscates that item being imported. Due to the Risk of Loss and
Customs regulations, we are NOT responsible for Undelivered Mail, Custom Dues or Taxes. If the Customer does not pay custom fees, import duties or taxes, we cannot accept return of the shipment and responsibility of return fees. Orders
will not be refunded if the Customer does not pay all fees associated with the shipment.</span></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739544" for="field117739544" data-testid="field-117739544"><a id="field-anchor-117739544" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h1><span style="font-size: 14px;">9. WARRANTY</span></h1>
<p><span style="font-size: 14px; font-family: "Times New Roman", Times, serif, -webkit-standard;">Source One Spares does not warrant parts but will assign any warranty given by the part overhauler.</span></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739551" for="field117739551" data-testid="field-117739551"><a id="field-anchor-117739551" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h1><span style="font-size: 14px;">10. HAZARDOUS MATERIAL</span></h1>
<p><span style="font-size: 14px; font-family: "Times New Roman", Times, serif, -webkit-standard;">To identify Product parts and kits classified as hazardous material by freight carriers, the following statement will appear:
"The above part number is classified as hazardous material."</span></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739565" for="field117739565" data-testid="field-117739565"><a id="field-anchor-117739565" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h1><span style="font-size: 14px;">11. EXPORT COMPLIANCE/END USER CERTIFICATION/LETTER OF UNDERSTANDING</span></h1>
<p><span style="font-size: 14px;"><span style="font-family: "Times New Roman", Times, serif, -webkit-standard;">The Product and data covered by this Agreement may be subject to the provisions of the Export Administration Act of
1979 (50 USC 2401 et seq.), the Export Administration Regulations (EAR) promulgated thereunder (15 CFR 768 - 799), the U.S. Arms Export Control Act (22 USC 2778 et seq.), the International Traffic in Arms Regulations (ITAR) (22 CFR
120-128 and 130) and non-U.S. export laws and regulations. The parties acknowledge: (1) these U.S. statues and regulations impose restrictions on the import from and export to countries outside of the United States of America of
certain categories or articles and data; (2) licenses from the U.S. Department of State and/or t the U.S. Department of Commerce may be required before such articles and data can be exported; (3) these licenses may impose additional
restrictions on use and further disclosure of such articles and data; and (4) the disclosure of such articles and data to foreign persons is subject to these statues, regulations, license requirements, and restrictions regardless of
whether the export occurs in the United States of America or abroad. The parties represent and warrant that no Products or data subject to this Agreement will be imported, exported, or re-exported contrary to these statues and
regulations and applicable non-U.S. import and export laws and regulations. The Customer shall indemnify and hold Source One Spares' harmless from all claims, demands, damages, costs, fines, penalties, attorney's fees, and other
expenses arising from the Customer's failure to comply with the above-referenced laws and regulations and any provision herein requiring such compliance.<br>All customers must confirm the following:</span></span></p>
<p><span style="font-size: 14px;"><span style="font-family: Times New Roman,Times,serif,-webkit-standard;">A. I (We) will not export or re-export U.S. products, technology or software to <strong>Cuba, Iran, North Korea, Russia,
Belarus, Syria or Sudan</strong> – or to any restricted country unless otherwise authorized by the United States Government.<br><br>B. I (We) will not sell, transfer, export or re-export any U.S. products for use in activities
which involve the development, production, use or stockpiling of nuclear, chemical or biological weapons or missiles, nor use any of these products in any facilities which are engaged in activities related to such weapons.<br><br>C.
I (We) acknowledge that U.S. law generally prohibits the sale, transfer, export or re-export or other participation in any export transaction involving U.S. products with individuals or companies listed in the U.S.
Commerce Department’s Table of Denial Orders, Entity List, Unverified List or any current General Order issued by the Department of Commerce, the U.S. Treasury Department’s list of Specially Designated Nationals, or the U.S.
Department of State’s Debarred List or Nonproliferation Sanctions listing unless otherwise authorized by the United States Government.</span></span></p>
<p><span style="font-family: "Times New Roman", Times, serif, -webkit-standard; font-size: 14px;">D. I (We) will abide by all applicable U.S. export control laws and regulations for any products purchased from Source One
Spares, LLC, and will obtain any licenses or prior approvals required by the U.S. Government prior to export or re-export of U.S. supplied products, software or technology.<br><br>E. I (We) agree that the export control
requirements in Number 1-4 above shall survive the completion, early termination, cancellation or expiration of the applicable purchase order, agreement or contract. This certification applies to the company listed below and includes
all subsidiaries and affiliated companies.<br><br>F. I (We) confirm that our authorized freight forwarder will be responsible for filing any applicable export documents and will provide any required information to Source One
Spares, LLC. This shall apply to any transaction between us and Source One Spares, LLC unless specifically revoked. Or in the case of domestic shipments leaving the country, we authorize Source One Spares, LLC to act as our agent and
file any required export documents on our behalf.</span></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739582" for="field117739582" data-testid="field-117739582"><a id="field-anchor-117739582" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h1><span style="font-size: 14px;">12. CONTROLLING LAW</span></h1>
<p><span style="font-size: 14px; font-family: "Times New Roman", Times, serif, -webkit-standard;">The Customer and Source One Spares expressly agree to exclude from this Agreement the United Nations Convention on Contracts for the
International Sale of Goods, 1980, and any successor thereto. This Agreement, as well as all purchases related hereto, shall be governed in all respects and shall be construed, and the legal relationships between the parties
shall be determined, in accordance with applicable commercial laws of the State of Texas, U.S.A. If any provision or part thereof of this Agreement is determined to be invalid, such provision or part thereof shall be deemed not to
be part of this Agreement and the remainder of this Agreement shall be valid and binding as though such provision or part thereof was not included. This Agreement may only be amended in writing by a document signed by both
parties.</span></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739689" for="field117739689" data-testid="field-117739689"><a id="field-anchor-117739689" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h1><span style="font-size: 14px;">13. LIMITATION OF LIABILITY</span></h1>
<p><span style="font-size: 14px;"><span style="font-family: "Times New Roman", Times, serif, -webkit-standard;">In no event shall Seller be liable to Buyer or any third party for any loss of use, revenue or profit [or loss of data
or diminution in value], or for any consequential, indirect, incidental, special, exemplary, or punitive damages whether arising out of breach of contract, tort (including negligence) or otherwise, regardless of whether such damages
were foreseeable and whether or not seller has been advised of the possibility of such damages, and notwithstanding the failure of any agreed or other remedy of its essential purpose.</span></span><br><span
style="font-size: 14px;"><span style="font-family: "Times New Roman", Times, serif, -webkit-standard;"><br>In no event shall Seller’s aggregate liability arising out of or related to this agreement, whether arising out of or
related to breach of contract, tort (including negligence) or otherwise, exceed the total amounts paid to Seller for the goods failure of any agreed or other remedy of its essential purpose.</span></span><br><span
style="font-size: 14px;"><span style="font-family: "Times New Roman", Times, serif, -webkit-standard;"><br>The limitation of liability set forth above shall not apply to liability resulting from Seller’s gross negligence or
willful misconduct and death or bodily injury resulting from Seller’s acts or omissions.</span></span></p>
</div>
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739705" for="field117739705" data-testid="field-117739705"><a id="field-anchor-117739705" tabindex="-1" aria-hidden="true"></a>
<div class="">
<h1><span style="font-size: 14px; font-family: "Times New Roman", Times, serif, -webkit-standard;">14. IMPORTANT LINKS AND/OR DOCUMENTS</span></h1>
<h2><span style="font-size: 14px;"><span style="font-family: Times New Roman,Times,serif,-webkit-standard;">New Customer Form</span></span></h2>
<p><span style="font-size: 14px;"><span
style="font-family: Times New Roman,Times,serif,-webkit-standard;"><a href="https://sourceonespares.formstack.com/forms/new_customer_form">https://sourceonespares.formstack.com/forms/new_customer_form</a></span></span></p>
<h2><span style="font-size: 14px;"><span style="font-family: Times New Roman,Times,serif,-webkit-standard;">Accounts Receivable Contact Sheet (<em>To update the Email of where invoices are sent</em>)</span></span></h2>
<p><span style="font-size: 14px;"><span
style="font-family: Times New Roman,Times,serif,-webkit-standard;"><a href="https://sourceonespares.formstack.com/forms/ar_contact_sheet">https://sourceonespares.formstack.com/forms/ar_contact_sheet</a></span></span></p>
<h2><span style="font-size: 14px;"><span style="font-family: Times New Roman,Times,serif,-webkit-standard;">Return Authorization Request</span></span></h2>
<p>
<a href="https://sourceonespares.formstack.com/forms/r_m_a_request_form"><span style="font-family: "Times New Roman", Times, serif, -webkit-standard; font-size: 14px;">https://sourceonespares.formstack.com/forms/r_m_a_request_form</span></a>
</p>
</div>
</span><label class="StyledLabel-sc-vn5hkq-0 ceIjYH fsLabelVertical fsFieldCell" id="label-field117739342" for="field117739342" data-testid="field-117739342"><a id="field-anchor-117739342" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Signature</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSignatureContainer-sc-1grg5aj-0 inyPZl"><canvas height="170" class="StyledSignatureCanvas-sc-130ravl-0 ivfbuo" width="463" style="touch-action: none; user-select: none;"></canvas>
<div class="StyledSignatureLine-sc-6380wo-0 cXQbBw"></div>
</div><button type="button" class="StyledSignatureClearButton-sc-kxz5sz-0 hIBXqI">Clear</button><input type="hidden" name="field117739342" id="field117739342" data-fs-field-id="117739342" data-fs-field-name="signature" data-fs-field-alias="*"
value=""><span class="StyledSupportingText-sc-1pgm78z-0 Pfcjq fsSupporting"><span>Use your mouse or finger to draw your signature above</span></span>
</label><label class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739343" for="field117739343" data-testid="field-117739343"><a id="field-anchor-117739343" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>First Name, Last Name, Title</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer" id="field117739343" type="text" label="First Name, Last Name, Title" required="" name="field117739343"
placeholder="" data-fs-field-id="117739343" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739344" for="field117739344" data-testid="field-117739344"><a id="field-anchor-117739344" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel"><span>Date/Time</span></div>
<div class="MuiDatePicker__FlexWrapper-sc-kljxd6-1 dwHNoJ fsDateField"><span class="MuiDatePicker__DateTimeWrapper-sc-kljxd6-0 htMwmK">
<div class="sc-dCFHLb iSuvYe MuiFormControl-root MuiFormControl-fullWidth sc-gmPhUn eBaauM MuiTextField-root">
<div class="sc-fHjqPf sc-dtBdUo kLQryA kvyfSr MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall MuiInputBase-adornedEnd"><input aria-invalid="false"
autocomplete="off" id="field117739344-*" placeholder="MMMM DD, YYYY" type="text" aria-label="Date field for Date/Time" data-testid="117739344-date-input" inputmode="text"
class="sc-hmdomO sc-dtInlm kUVotr hipyer MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputSizeSmall MuiInputBase-inputAdornedEnd" value="Jun 06, 2024">
<fieldset aria-hidden="true" class="sc-bmzYkS dYDrjN sc-kOHTFB ehjpTs MuiOutlinedInput-notchedOutline">
<legend class="sc-iHGNWf epVTRQ"><span class="notranslate"></span></legend>
</fieldset>
</div>
</div>
</span></div><input name="field117739344M" id="field117739344M" type="hidden" readonly="" data-testid="month" data-fs-field-id="117739344" data-fs-field-name="datetime" data-fs-field-alias="M" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="Jun"><input name="field117739344D" id="field117739344D" readonly="" type="hidden" data-testid="day" data-fs-field-id="117739344" data-fs-field-name="datetime" data-fs-field-alias="D" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="6"><input name="field117739344Y" id="field117739344Y" readonly="" type="hidden" data-testid="year" data-fs-field-id="117739344" data-fs-field-name="datetime" data-fs-field-alias="Y" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="2024"><input name="field117739344H" id="field117739344H" readonly="" data-testid="hour" type="hidden" data-fs-field-id="117739344" data-fs-field-name="datetime" data-fs-field-alias="H" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="5"><input name="field117739344I" id="field117739344I" readonly="" data-testid="minutes" type="hidden" data-fs-field-id="117739344" data-fs-field-name="datetime" data-fs-field-alias="I" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="57"><input name="field117739344S" id="field117739344S" readonly="" data-testid="seconds" type="hidden" data-fs-field-id="117739344" data-fs-field-name="datetime" data-fs-field-alias="S" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="59"><input name="field117739344A" id="field117739344A" readonly="" data-testid="ampm" type="hidden" data-fs-field-id="117739344" data-fs-field-name="datetime" data-fs-field-alias="A" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="PM">
</span>
</div>
<div data-testid="section117739345-col2" id="fsSection117739345" class="StyledSection-sc-1jyjf4h-0 feEXUs fsSection">
<div class="StyledSectionHeader-sc-14xa0k7-0 iAafzA fsSectionHeader">
<h2 class="StyledSectionHeading-sc-hpb4sc-0 eBtlc fsSectionHeading">Export Compliance</h2>
</div><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739346" for="field117739346" data-testid="field-117739346"><a id="field-anchor-117739346" tabindex="-1" aria-hidden="true"></a>
<div class="">
<p><strong><u>Export Compliance / End User Certification / Letter of Understanding</u></strong></p>
<p><strong>Subject: Compliance with United States Export Regulations</strong></p>
<p><strong> </strong></p>
<h4>It is the policy of Source One Spares, LLC to ensure its compliance with United States export control regulations for all sales of U.S. products controlled by Export Administration Regulations (EAR) or the International Traffic in Arms
Regulations (ITAR). Please complete the following Export Compliance Certificate. Source One Spares, LLC reserves the right to re-request a signed copy of this
certificate to accommodate compliance requirements.</h4>
<p>Please confirm the following:</p>
<ol>
<li>I (We) will not export or re-export U.S. products, technology or software to <strong>Cuba, Iran, North Korea, Russia, Belarus, Syria or Sudan </strong>– or to any restricted country unless otherwise authorized by the United
States Government.</li>
<li>I (We) will not sell, transfer, export or re-export any U.S. products for use in activities which involve the development, production, use or stockpiling of nuclear, chemical or biological weapons or missiles, nor use any of these
products in any facilities which are engaged in activities related to such weapons.</li>
<li>I (We) acknowledge that U.S. law generally prohibits the sale, transfer, export or re-export or other participation in any export transaction involving U.S. products with individuals or companies listed in the U.S.
Commerce Department’s Table of Denial Orders, Entity List, Unverified List or any current General Order issued by the Department of Commerce, the U.S. Treasury Department’s list of Specially Designated Nationals, or the U.S. Department
of State’s Debarred List or Nonproliferation Sanctions listing unless otherwise authorized by the United States Government.</li>
<li>I (We) will abide by all applicable U.S. export control laws and regulations for any products purchased from Source One Spares, LLC, and will obtain any licenses or prior approvals required by the U.S. Government prior to export or
re-export of U.S. supplied products, software or technology.</li>
<li>I (We) agree that the export control requirements in Number 1-4 above shall survive the completion, early termination, cancellation or expiration of the applicable purchase order, agreement or contract. This certification applies to
the company listed below and includes all subsidiaries and affiliated companies.</li>
<li>I (We) confirm that our authorized freight forwarder will be responsible for filing any applicable export documents and will provide any required information to Source One Spares, LLC. This shall apply to any transaction between
us and Source One Spares, LLC unless specifically revoked. Or in the case of domestic shipments leaving the country, we authorize Source One Spares, LLC to act as our agent and file any required export documents on our behalf.</li>
</ol>
</div>
</span><label class="StyledLabel-sc-vn5hkq-0 ceIjYH fsLabelVertical fsFieldCell" id="label-field117739347" for="field117739347" data-testid="field-117739347"><a id="field-anchor-117739347" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Signature (Company Official)</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSignatureContainer-sc-1grg5aj-0 inyPZl"><canvas height="170" class="StyledSignatureCanvas-sc-130ravl-0 ivfbuo" width="463" style="touch-action: none; user-select: none;"></canvas>
<div class="StyledSignatureLine-sc-6380wo-0 cXQbBw"></div>
</div><button type="button" class="StyledSignatureClearButton-sc-kxz5sz-0 hIBXqI">Clear</button><input type="hidden" name="field117739347" id="field117739347" data-fs-field-id="117739347" data-fs-field-name="signature" data-fs-field-alias="*"
value=""><span class="StyledSupportingText-sc-1pgm78z-0 Pfcjq fsSupporting"><span>Use your mouse or finger to draw your signature above</span></span>
</label><label class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739348" for="field117739348" data-testid="field-117739348"><a id="field-anchor-117739348" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>First Name, Last Name, Title</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 gnOLlR"><input autocomplete="on" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldShortAnswer" id="field117739348" type="text" label="First Name, Last Name, Title" required="" name="field117739348"
placeholder="" data-fs-field-id="117739348" data-fs-field-name="text" data-fs-field-alias="value" value=""></div>
</div>
</label><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739349" for="field117739349" data-testid="field-117739349"><a id="field-anchor-117739349" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel"><span>Signature Date</span></div>
<div class="MuiDatePicker__FlexWrapper-sc-kljxd6-1 dwHNoJ fsDateField"><span class="MuiDatePicker__DateTimeWrapper-sc-kljxd6-0 htMwmK">
<div class="sc-dCFHLb iSuvYe MuiFormControl-root MuiFormControl-fullWidth sc-gmPhUn eBaauM MuiTextField-root">
<div class="sc-fHjqPf sc-dtBdUo kLQryA kvyfSr MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall MuiInputBase-adornedEnd"><input aria-invalid="false"
autocomplete="off" id="field117739349-*" placeholder="MMMM DD, YYYY" type="text" aria-label="Date field for Signature Date" data-testid="117739349-date-input" inputmode="text"
class="sc-hmdomO sc-dtInlm kUVotr hipyer MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputSizeSmall MuiInputBase-inputAdornedEnd" value="Jun 06, 2024">
<fieldset aria-hidden="true" class="sc-bmzYkS dYDrjN sc-kOHTFB ehjpTs MuiOutlinedInput-notchedOutline">
<legend class="sc-iHGNWf epVTRQ"><span class="notranslate"></span></legend>
</fieldset>
</div>
</div>
</span></div><input name="field117739349M" id="field117739349M" type="hidden" readonly="" data-testid="month" data-fs-field-id="117739349" data-fs-field-name="datetime" data-fs-field-alias="M" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="Jun"><input name="field117739349D" id="field117739349D" readonly="" type="hidden" data-testid="day" data-fs-field-id="117739349" data-fs-field-name="datetime" data-fs-field-alias="D" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="6"><input name="field117739349Y" id="field117739349Y" readonly="" type="hidden" data-testid="year" data-fs-field-id="117739349" data-fs-field-name="datetime" data-fs-field-alias="Y" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="2024"><input name="field117739349H" id="field117739349H" readonly="" data-testid="hour" type="hidden" data-fs-field-id="117739349" data-fs-field-name="datetime" data-fs-field-alias="H" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="5"><input name="field117739349I" id="field117739349I" readonly="" data-testid="minutes" type="hidden" data-fs-field-id="117739349" data-fs-field-name="datetime" data-fs-field-alias="I" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="57"><input name="field117739349S" id="field117739349S" readonly="" data-testid="seconds" type="hidden" data-fs-field-id="117739349" data-fs-field-name="datetime" data-fs-field-alias="S" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="59"><input name="field117739349A" id="field117739349A" readonly="" data-testid="ampm" type="hidden" data-fs-field-id="117739349" data-fs-field-name="datetime" data-fs-field-alias="A" class="StyledHiddenInput-sc-fc0jd-0 gJqmUo"
value="PM">
</span><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739350" for="field117739350" data-testid="field-117739350"><a id="field-anchor-117739350" tabindex="-1" aria-hidden="true"></a>
<div class="">
<p style="text-align: center;"><strong>References: 15 CFR Part 30 – Foreign Trade Regulations; 15 CFR Part 730-774 EAR and 22 CFR Part 120-130</strong></p>
<p style="text-align: center;"><strong>This certificate will be retained on file at Source One Spares, LLC</strong></p>
</div>
</span>
</div>
<div data-testid="section117739351-col2" id="fsSection117739351" class="StyledSection-sc-1jyjf4h-0 feEXUs fsSection">
<div class="StyledSectionHeader-sc-14xa0k7-0 iAafzA fsSectionHeader">
<h2 class="StyledSectionHeading-sc-hpb4sc-0 eBtlc fsSectionHeading">Notifications</h2>
</div><label class="StyledLabel-sc-vn5hkq-0 ceIjYH fsLabelVertical fsFieldCell" id="label-field117739352" for="field117739352" data-testid="field-117739352"><a id="field-anchor-117739352" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Email of your contact at Source One</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 ebUzir"><input id="field117739352" type="email" maxlength="" label="Email of your contact at Source One" required="" autocomplete="email" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldEmail"
name="field117739352" size="50" placeholder="example: joe@sourceonespares.com" data-fs-field-id="117739352" data-fs-field-name="email" data-fs-field-alias="value" value=""></div>
</div>
</label><span class="StyledLabel-sc-vn5hkq-0 ceIjYH fsLabelVertical fsFieldCell" id="label-field117739353" for="field117739353" data-testid="field-117739353"><a id="field-anchor-117739353" tabindex="-1" aria-hidden="true"></a>
<div class=""></div>
</span><label class="StyledLabel-sc-vn5hkq-0 ceIjYH fsLabelVertical fsFieldCell" id="label-field117739354" for="field117739354" data-testid="field-117739354"><a id="field-anchor-117739354" tabindex="-1" aria-hidden="true"></a>
<div class="StyledLabelText-sc-1bsmirz-0 JEtlr fsLabel fsRequiredLabel"><span>Preparer Email</span><span class="StyledRequiredMarker-sc-d195mo-0 jErNig fsRequiredMarker">*</span></div>
<div class="StyledSubFieldGroup-sc-ik27pq-0 gfzGQs fsSubFieldGroup">
<div class="StyledSubField-sc-1wt4t9i-0 ebUzir"><input id="field117739354" type="email" maxlength="" label="Preparer Email" required="" autocomplete="email" class="StyledInput-sc-1cxwxcf-0 lbJKLq fsFieldEmail" name="field117739354"
size="50" placeholder="" data-fs-field-id="117739354" data-fs-field-name="email" data-fs-field-alias="value" value=""></div>
</div><span class="StyledSupportingText-sc-1pgm78z-0 Pfcjq fsSupporting"><span>Receive notification of submission</span></span>
</label><span class="StyledLabel-sc-vn5hkq-0 iBVcIY fsLabelVertical fsFieldCell" id="label-field117739355" for="field117739355" data-testid="field-117739355"><a id="field-anchor-117739355" tabindex="-1" aria-hidden="true"></a>
<div class="">
<p style="text-align: center;"><br></p>
<p style="text-align: center;"><strong><span style="font-size: 24px; color: rgb(41, 105, 176);">In order to process information on this form, please click 'Submit Form'.</span></strong></p>
<p style="text-align: center;"><strong><span style="font-size: 24px; color: rgb(41, 105, 176);">Thank you for your business!</span></strong></p>
</div>
</span>
</div>
</div>
<div id="fsSubmit4601855" class="StyledFormFooter-sc-9cjpwp-0 idYQmn fsSubmit fsPagination">
<div class="StyledFormNavigations-sc-t0vu6u-0 jnnwJH"><button id="fsSubmitButton4601855" class="StyledSubmitButton-sc-1ylq3c5-0 dkIzwF fsSubmitButton" type="submit">Submit Form</button></div>
</div>
</form>Text Content
NEW CUSTOMER FORM
Corporate Office: 12121 Wickchester Lane, Suite 725, Houston, TX 77079-1238
www.SourceOneSpares.com
Office (832) 364-6800
COMPANY INFORMATION
Company Name (Legal)*
Trade or DBA Name
Federal ID or VAT#*
Year of Formation*
Business Phone*
Do we charge you sales tax? (Only U.S. Companies)*
Do we charge you sales tax? (Only U.S. Companies)
Yes
No
If 'No', upload Tax Exemption Certificate to this form
Type of Business Organization*
Type of Business Organization
Sole Proprietorship
Partnership
Corporation
LLC/Other
UPLOAD Tax Exemption Certificate
Drag and drop here or Browse files
Max file size: 10 MB
--------------------------------------------------------------------------------
Principals of the Company
Name*
First Name
Last Name
Phone*
Email*
Position*
Name
First Name
Last Name
Phone
Email
Position
--------------------------------------------------------------------------------
ACCOUNTING INFORMATION
AP Contact Name*
First Name
Last Name
AP Contact Phone*
AP Contact Email*
Position
BILLING ADDRESS*
Address Line 1
Address Line 2
City
State/Province
ZIP / Postal
AfghanistanAland IslandsAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia,
Plurinational State ofBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish
Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina
FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongoCongo, The Democratic Republic of theCook
IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech
RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe
IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-bissauGuyanaHaitiHeard
Island and Mcdonald IslandsHoly See (Vatican City State)HondurasHong
KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic
People\'s Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People\'s
Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoRepublic
of MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States
ofMoldova, Republic
ofMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands
AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern
Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint HelenaSaint
Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and
the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon
IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri
LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab
RepublicTaiwan, Republic of ChinaTajikistanTanzania, United Republic
ofThailandTimor-lesteTogoTokelauTongaTrinidad and
TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited
Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying
IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin
Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweCountry
Where do we send invoices if different than AP Contact?*
Same as BillingAdd Invoice Email
Invoice Email
Where do we send Statements if different than AP Contact?*
Same as BillingAdd Statement Email
Statement Email
Primary Shipping Address
Address Line 1
Address Line 2
City
State/Province
ZIP / Postal
AfghanistanAland IslandsAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia,
Plurinational State ofBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish
Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina
FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongoCongo, The Democratic Republic of theCook
IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech
RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe
IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-bissauGuyanaHaitiHeard
Island and Mcdonald IslandsHoly See (Vatican City State)HondurasHong
KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic
People\'s Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People\'s
Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoRepublic
of MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States
ofMoldova, Republic
ofMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands
AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern
Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint HelenaSaint
Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and
the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon
IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri
LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab
RepublicTaiwan, Republic of ChinaTajikistanTanzania, United Republic
ofThailandTimor-lesteTogoTokelauTongaTrinidad and
TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited
Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying
IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin
Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweCountry
Our procedure will be to automatically forward the invoice to your specified
email address once the part has shipped.
If you require paper invoices, please specify in writing.
Copies of invoices may be requested at accountsreceivable@sourceonespares.com
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Would you like to provide bank information in the case we need to send you a
refund?*
Would you like to provide bank information in the case we need to send you a
refund?
Yes
No
--------------------------------------------------------------------------------
Bank References (must be completed if applying for terms)
Banking Institution Name*
Routing/ABA # for both Wire and ACH*
Bank Street Address
Account # or IBAN*
City, State, Zip, Country*
Contact Name
First Name
Last Name
Swift Code and Sort Code
Contact Email
Are you applying for terms? If no, all sales are CIA*
Are you applying for terms? If no, all sales are CIA
Yes
No
--------------------------------------------------------------------------------
Credit References (must be completed if applying for terms)
Company Name
Phone
Email
Contact Name/Acct #
Company Name
Phone
Email
Contact Name/Acct #
CUSTOMER TERMS AND CONDITIONS OF SALE
All descriptions, quotations, proposals, offers, acknowledgments, acceptances,
and sales of Source One Spares' products are subject to and governed exclusively
by the provisions of this CUSTOMER TERMS AND CONDITIONS OF SALE ("Agreement”).
Any terms and conditions that are amended, modified, added to, or are
inconsistent with this Agreement between Customer and Source One Spares shall
not become a part of the Agreement unless they specifically state that it amends
these Terms and Conditions and are agreed to in writing and signed by an
authorized representative of both parties. By issuing a purchase order, placing
an order by email, delivery of such parts, Customer hereby expressly agrees to
the terms and conditions set forth below.
1. PAYMENT TERMS
Unless otherwise stated on the Invoice and signed by an authorized
representative of Source One Spares, LLC, payment terms are net thirty (30) days
from the date of the Invoice (not receipt date) contingent on credit approval.
Source One sends all Invoices to the Customer’s specified email at shipment.
The Customer shall submit any Invoice dispute to Source One Spares within
thirty (30) days of the Invoice date or the Invoice will be deemed to be
correct. Source One may require deposits or advance payment from Customers prior
to shipment. Unless otherwise agreed to in writing, all payments shall be
non−refundable. Customer shall pay to Source One an amount equal to all taxes
paid, payable or required to be collected by Source One and shall pay all bank
fees, wire transfer fees and other costs of payment transfers.
Customer shall submit payment details to Source One Spares at
accountsreceivable@sourceonespares.com to permit posting of the payment to the
proper Invoices or purchase orders. In the absence of such payment advice,
Source One may apply payments to any outstanding amount owed by Customer. All
payments must be made in USD$ currency to the bank account designated on the
invoice via wire, ACH, check or credit card. All payments must be in
full without deductions for wire fees or other offsets. Past due balances are
subject to finance charges, interest, and collection fees at the discretion of
Source One Spares. Source One Spares also reserves the right to issue and
revoke credit to a customer for any reason at its sole discretion. Should
collection efforts be required, it will be at the Customer's expense which can
be up to an additional 30% of the original invoice amount.
2. TITLE
Title is reserved. Ownership of goods does not pass to the buyer until the
Customer has made payment in full.
3. ORDERING INFORMATION
All orders must be made or confirmed in writing or by electronic data interface
and are subject to approval and confirmation upon receipt by Source One Spares.
Cancellation of orders may not be made without the written consent of Source
One. Cancellation may result in a restocking fee if due to no fault of Source
One Spares and cancelled after 24 hours. The minimum purchase order is
$1,500.00.
4. RETURN AND EXCHANGE
It is the Customer’s responsibility to inspect the part within a timely manner
including ensuring it can be installed and is in working order. Goods which
are supplied incorrectly may be returned within a 30-day period for exchange or
refund. Goods which are supplied correctly may be returned within a 30-day
period for exchange or refund, but are subject to a 25% restocking fee. To
request a return, submit a Return Authorization Request. Thisis to ensure all
returns are handled timely and correctly. Return shipping and export costs for
correctly processed orders are the responsibility of the Customer. Source One
Spares will issue an RMA with shipping instructions for all approved Return
Authorizations. In all cases, goods shall be returned in resalable condition
complete with the original packaging, labels, original paperwork, and is subject
to acceptance by Source One Spares. Any costs required to return and bring the
part back to the condition as originally shipped to the customer will be at the
customer's expense. The part can be evaluated for repair guarantees up to one
year after shipment. Credit will be issued when the part has been received at
our facility and inspected.
5. PRICING
All prices shown on the Quote, Sales Order, Proforma and/or Invoice are in
United States Dollars and Ex-Works origin. Import duties imposed by countries
other than the United States are not included in the published prices. Unless
specifically set forth otherwise, Product prices do not include freight or taxes
if applicable. Freight charges are the express responsibility of the Customer.
Freight charges may include but are not limited to transportation to the
Customer's designated facility, insurance, custom duties, tariffs, taxes, etc.
6. INSURANCE
All products are shipped Ex-Works origin. Source One Spares does not insure
shipments. Customers may purchase freight insurance directly from an outside
insurance provider. The Customer assumes all risk of loss and/or damage upon
shipment by Source One Spares.
7. DELIVERY
The terms of delivery are Ex-Works origin. The risk of loss passes to the
Customer upon delivery of the Products to the Customer or their carrier,
whichever occurs first. Source One Spares is not responsible for delays in
delivery or non-performance resulting from causes beyond Source One Spares'
control ("Events of Force Majeure"). Events of Force Majeure shall include,
without limitation, laws, acts, rules or regulations of any government or
government agency, government embargoes or any other government acts causing
interference with performance, blockades, seizure or detention of assets, delays
or refusals to grant export licenses or the suspension or revocation thereof,
accidents, fires, floods, severe weather conditions, acts of God, quarantines or
regional medical crisis, armed conflict, terrorism, war, labor strikes or
disputes, delays or failures in delivery of carriers or suppliers, shortages of
material, and any other cause beyond Source One Spares' control. Source One
Spares' time for delivery, or any other performance, shall be extended by the
period of time Source One Spares is delayed. IN NO EVENT SHALL SOURCE ONE SPARES
BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL, OR SPECIAL DAMAGES ARISING FROM OR
RELATING TO A DELAY OR FAILURE TO DELIVER.
8. INTERNATIONAL SHIPMENTS
The Customer pays all shipping, insurance and customs fees, and assumes
responsibility for lost shipments to countries that do not insure shipments
within their borders. In the case of shipments to countries that restrict an
item from import, it is the Customer's responsibility if their customs
confiscates that item being imported. Due to the Risk of Loss and Customs
regulations, we are NOT responsible for Undelivered Mail, Custom Dues or Taxes.
If the Customer does not pay custom fees, import duties or taxes, we cannot
accept return of the shipment and responsibility of return fees. Orders will not
be refunded if the Customer does not pay all fees associated with the shipment.
9. WARRANTY
Source One Spares does not warrant parts but will assign any warranty given by
the part overhauler.
10. HAZARDOUS MATERIAL
To identify Product parts and kits classified as hazardous material by freight
carriers, the following statement will appear: "The above part number is
classified as hazardous material."
11. EXPORT COMPLIANCE/END USER CERTIFICATION/LETTER OF UNDERSTANDING
The Product and data covered by this Agreement may be subject to the provisions
of the Export Administration Act of 1979 (50 USC 2401 et seq.), the Export
Administration Regulations (EAR) promulgated thereunder (15 CFR 768 - 799), the
U.S. Arms Export Control Act (22 USC 2778 et seq.), the International Traffic in
Arms Regulations (ITAR) (22 CFR 120-128 and 130) and non-U.S. export laws and
regulations. The parties acknowledge: (1) these U.S. statues and regulations
impose restrictions on the import from and export to countries outside of the
United States of America of certain categories or articles and data; (2)
licenses from the U.S. Department of State and/or t the U.S. Department of
Commerce may be required before such articles and data can be exported; (3)
these licenses may impose additional restrictions on use and further disclosure
of such articles and data; and (4) the disclosure of such articles and data to
foreign persons is subject to these statues, regulations, license requirements,
and restrictions regardless of whether the export occurs in the United States of
America or abroad. The parties represent and warrant that no Products or data
subject to this Agreement will be imported, exported, or re-exported contrary to
these statues and regulations and applicable non-U.S. import and export laws and
regulations. The Customer shall indemnify and hold Source One Spares' harmless
from all claims, demands, damages, costs, fines, penalties, attorney's fees, and
other expenses arising from the Customer's failure to comply with the
above-referenced laws and regulations and any provision herein requiring such
compliance.
All customers must confirm the following:
A. I (We) will not export or re-export U.S. products, technology or software to
Cuba, Iran, North Korea, Russia, Belarus, Syria or Sudan – or to any restricted
country unless otherwise authorized by the United States Government.
B. I (We) will not sell, transfer, export or re-export any U.S. products for
use in activities which involve the development, production, use or stockpiling
of nuclear, chemical or biological weapons or missiles, nor use any of these
products in any facilities which are engaged in activities related to such
weapons.
C. I (We) acknowledge that U.S. law generally prohibits the sale, transfer,
export or re-export or other participation in any export transaction involving
U.S. products with individuals or companies listed in the U.S. Commerce
Department’s Table of Denial Orders, Entity List, Unverified List or any current
General Order issued by the Department of Commerce, the U.S. Treasury
Department’s list of Specially Designated Nationals, or the U.S. Department of
State’s Debarred List or Nonproliferation Sanctions listing unless otherwise
authorized by the United States Government.
D. I (We) will abide by all applicable U.S. export control laws and regulations
for any products purchased from Source One Spares, LLC, and will obtain any
licenses or prior approvals required by the U.S. Government prior to export or
re-export of U.S. supplied products, software or technology.
E. I (We) agree that the export control requirements in Number 1-4 above shall
survive the completion, early termination, cancellation or expiration of the
applicable purchase order, agreement or contract. This certification applies to
the company listed below and includes all subsidiaries and affiliated companies.
F. I (We) confirm that our authorized freight forwarder will be responsible for
filing any applicable export documents and will provide any required information
to Source One Spares, LLC. This shall apply to any transaction between us and
Source One Spares, LLC unless specifically revoked. Or in the case of domestic
shipments leaving the country, we authorize Source One Spares, LLC to act as our
agent and file any required export documents on our behalf.
12. CONTROLLING LAW
The Customer and Source One Spares expressly agree to exclude from this
Agreement the United Nations Convention on Contracts for the International Sale
of Goods, 1980, and any successor thereto. This Agreement, as well as all
purchases related hereto, shall be governed in all respects and shall be
construed, and the legal relationships between the parties shall be determined,
in accordance with applicable commercial laws of the State of Texas, U.S.A. If
any provision or part thereof of this Agreement is determined to be invalid,
such provision or part thereof shall be deemed not to be part of this Agreement
and the remainder of this Agreement shall be valid and binding as though such
provision or part thereof was not included. This Agreement may only be amended
in writing by a document signed by both parties.
13. LIMITATION OF LIABILITY
In no event shall Seller be liable to Buyer or any third party for any loss of
use, revenue or profit [or loss of data or diminution in value], or for any
consequential, indirect, incidental, special, exemplary, or punitive damages
whether arising out of breach of contract, tort (including negligence) or
otherwise, regardless of whether such damages were foreseeable and whether or
not seller has been advised of the possibility of such damages, and
notwithstanding the failure of any agreed or other remedy of its essential
purpose.
In no event shall Seller’s aggregate liability arising out of or related to this
agreement, whether arising out of or related to breach of contract, tort
(including negligence) or otherwise, exceed the total amounts paid to Seller for
the goods failure of any agreed or other remedy of its essential purpose.
The limitation of liability set forth above shall not apply to liability
resulting from Seller’s gross negligence or willful misconduct and death or
bodily injury resulting from Seller’s acts or omissions.
14. IMPORTANT LINKS AND/OR DOCUMENTS
NEW CUSTOMER FORM
https://sourceonespares.formstack.com/forms/new_customer_form
ACCOUNTS RECEIVABLE CONTACT SHEET (TO UPDATE THE EMAIL OF WHERE INVOICES ARE
SENT)
https://sourceonespares.formstack.com/forms/ar_contact_sheet
RETURN AUTHORIZATION REQUEST
https://sourceonespares.formstack.com/forms/r_m_a_request_form
Signature*
ClearUse your mouse or finger to draw your signature above
First Name, Last Name, Title*
Date/Time
EXPORT COMPLIANCE
Export Compliance / End User Certification / Letter of Understanding
Subject: Compliance with United States Export Regulations
IT IS THE POLICY OF SOURCE ONE SPARES, LLC TO ENSURE ITS COMPLIANCE WITH UNITED
STATES EXPORT CONTROL REGULATIONS FOR ALL SALES OF U.S. PRODUCTS CONTROLLED BY
EXPORT ADMINISTRATION REGULATIONS (EAR) OR THE INTERNATIONAL TRAFFIC IN ARMS
REGULATIONS (ITAR). PLEASE COMPLETE THE FOLLOWING EXPORT COMPLIANCE CERTIFICATE.
SOURCE ONE SPARES, LLC RESERVES THE RIGHT TO RE-REQUEST A SIGNED COPY
OF THIS CERTIFICATE TO ACCOMMODATE COMPLIANCE REQUIREMENTS.
Please confirm the following:
1. I (We) will not export or re-export U.S. products, technology or software to
Cuba, Iran, North Korea, Russia, Belarus, Syria or Sudan – or to any
restricted country unless otherwise authorized by the United States
Government.
2. I (We) will not sell, transfer, export or re-export any U.S. products for
use in activities which involve the development, production, use or
stockpiling of nuclear, chemical or biological weapons or missiles, nor use
any of these products in any facilities which are engaged in activities
related to such weapons.
3. I (We) acknowledge that U.S. law generally prohibits the sale, transfer,
export or re-export or other participation in any export transaction
involving U.S. products with individuals or companies listed in the U.S.
Commerce Department’s Table of Denial Orders, Entity List, Unverified List
or any current General Order issued by the Department of Commerce, the U.S.
Treasury Department’s list of Specially Designated Nationals, or the U.S.
Department of State’s Debarred List or Nonproliferation Sanctions listing
unless otherwise authorized by the United States Government.
4. I (We) will abide by all applicable U.S. export control laws and regulations
for any products purchased from Source One Spares, LLC, and will obtain any
licenses or prior approvals required by the U.S. Government prior to export
or re-export of U.S. supplied products, software or technology.
5. I (We) agree that the export control requirements in Number 1-4 above shall
survive the completion, early termination, cancellation or expiration of the
applicable purchase order, agreement or contract. This certification applies
to the company listed below and includes all subsidiaries and affiliated
companies.
6. I (We) confirm that our authorized freight forwarder will be responsible for
filing any applicable export documents and will provide any required
information to Source One Spares, LLC. This shall apply to any transaction
between us and Source One Spares, LLC unless specifically revoked. Or in the
case of domestic shipments leaving the country, we authorize Source One
Spares, LLC to act as our agent and file any required export documents on
our behalf.
Signature (Company Official)*
ClearUse your mouse or finger to draw your signature above
First Name, Last Name, Title*
Signature Date
References: 15 CFR Part 30 – Foreign Trade Regulations; 15 CFR Part 730-774 EAR
and 22 CFR Part 120-130
This certificate will be retained on file at Source One Spares, LLC
NOTIFICATIONS
Email of your contact at Source One*
Preparer Email*
Receive notification of submission
In order to process information on this form, please click 'Submit Form'.
Thank you for your business!
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