What are you registering as, Select One Pharmacy Medical Facility Wholesaler Manufacturer Please choose the business type that best describes you; Select One Retail Pharmacy Hospital Mail Order Long Term Care Compounding Other Please choose the business type that best describes you; Select One Dermatology Hospital/Acute Urgent Care Extended Home Health Primary Care Veterinary Other Please choose the business type that best describes you; Select One Biotech Only Distributor Broker Wholesaler Veterinary Only Other Please choose the business type that best describes you; Select One Biotechnology Manufacturer Repackager Other Company Name Contact Name And Title Phone Fax Email Address Company Address City State ZIP Code Financial Terms:1. Payment terms for Domestic services and international shipments are to be paid Net 7 days from the date of invoice; payable upon receipt of Gabar Health Sciences Corp. invoice unless otherwise agreed. 2. The undersigned agrees (s) to the terms of the Service Agreement with Gabar Health Sciences Corp. and shall pay all reasonable costs associated with the collection of money due and payable, including attorney fees, collection fees, and expenses incurred in the event of failure of the applicant to pay all obligations and indebtedness when due. 3. Gabar Health Sciences Corp. may at any time, suspend or revoke any credit extended, if, in its opinion, the buyer’s financial condition or any other circumstance reasonably warrants it. Terms and Conditions of Service Upon signing, the customer agrees to the following: 1. The customer agrees to the terms and conditions outlined in the financial terms. 2. The customer acknowledges that it has read and understands this Agreement and agrees to be bound by its provisions. Further, the customer agrees that the terms and conditions of this Agreement supersede all proposals or prior agreements oral or written, and all other communication between the parties relating to the subject matter of this agreement. this is a digital signature and attest to financial responsibility, ability & Willingness to pay our Invoices in accordance with the terms stated in the service agreement. Submit
