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Scent-Sations, Inc
1 George Ave.
Wilkes-Barre, PA 18705
Phone: (570)270-9010
Fax: (570)270-9012
Order Line: (866)207-2368
Qualified Vendor
Program Agreement
Member Information
Name (your name or company) EIN or Social Security Number *
Person to Contact (if using a company name) Phone Number Email Address
Billing Address City State Zip Code
Shipping Address (if different) City State Zip Code
Representative Name Phone Number ID Number
Payment Information
Payment Method
Credit Card Information
Credit or Debit Card Type: ___ Visa ___ Mastercard ___ Discover ___ American Express
Credit Card Number: ___________-___________-___________-___________ Exp. Date: ________-________
Name on Card: ___________________________________________________________
Card Holder Signature: ____________________________________________________
___ Yes, keep this credit card on file for future orders.
Business/Personal Check Information
Business and personal checks are accepted but shipment will be held until funds clear.
Reseller Saxes Tax ID Information
___ I am submitting my reseller sales tax id form. You must submit the sales tax exemption form provided for your state. (form #2
listed on the website, not your original sales tax license/permit.)
I do not have a reseller sales tax id and understand that Scent-Sations, Inc . will collect all resellers taxes at suggested retail prices to
remit to your state at the time of purchase.
*Applications will NOT be processed without a vaild EIN or Social Security Number.
Mia Bella Latino 407-329-3730 34967
Scent-Sations, Inc. Terms & Conditions
for U.S. Qualified Vendor
1. I am of legal age in the state of my residency. I agree that I am an independent contractor,
responsible for determining my own business activities and not an agent, employee or legal
representative of Scent-Sations, Inc. hereinafter referred to as "Company". I will not represent in
any manner that I am an agent or representative of the Company. I have provided the Company
with the appropriate legal documents showing that I am legally able to collect and remit sales
taxes to my appropriate taxing jurisdictions and/or authorities.
2. This position does not constitute the sale of a franchise and no fees have been or will be required
of me.
3. By submitting any information such as an e-mail address or mailing address, I agree to be on
Company's mailing list, unless I notify Company otherwise.
4. In order to maintain a viable Marketing Program and to comply with changes in County, Federal,
State and local laws or economic conditions, Company may provide Policies and Procedures for
the Vendor from time to time. Such Policies and Procedures modifications, and all changes
thereto shall be made at the sole discretion of the company and posted on the company website..
5. I understand that no attorney or any other regulatory authority ever reviews, endorses or
approves any product, or company, and I will make no such claims to others
6. Company shall deem this agreement in effect upon its receipt and acceptance, at the home office
in Wilkes-Barre, Pennsylvania.
7. I will not use Company name, or the trade names, logos, photography, copyrighted material,
trademarks or service marks of Company, except in materials provided by Company or approved
in writing by Company prior to their use by me. I understand that unauthorized use or duplication
of trademarks or copyrighted materials is a violation of federal and possibly international law.
Any advertising must first be reviewed by Company. It is against company policy to retail Scent-
Sations products on any online website.
8. Payment terms on Vendor purchases are cash, debit, or credit card (prepaid or credit)... debit
cards are also accepted as long as they are backed by Visa or Mastercard. Business and personal
checks are accepted but shipment will be held until funds clear. Vendor understands that the
Company is allowing the use of debit cards as a courtesy and acknowledges that the Company
does not assume responsibility for any overdrafts or for any other additional charges incurred by
any vendor.
9. I will not make false or misleading statements about the Company, their Vendors or products and
services.
10.This agreement is governed under laws of the state Pennsylvania. The parties agree that any
claim, dispute or other difference between them shall be exclusively resolved by binding
arbitration pursuant to the Commercial Arbitration Rules of the American Arbitration Association
with arbitration to occur in Wilkes Barre, Pennsylvania. Louisiana Vendors arbitrate in New
Orleans, Louisiana.
11.Vendors may return literature and products in resalable condition at any time within thirty (30)
days of purchase less a 15% restocking fee. Any package that is refused by a Vendor will incur a
30% restocking fee. Shipping costs of returned items shall be borne by Vendor. Payment will be
made within thirty (30) days of actual receipt of returned items. Deposits refundable upon written
request within sixty (60) days of termination of Vendor. Request for refund may cancel this
agreement at the option of Company. Defective product(s) may be returned for 100% refund with
shipping costs borne by Company. All product returns must have a Return Authorization Number
(received by calling customer service prior to shipping defective product(s). Company will NOT
refund or replace any product that is returned for any other reason other than a defective product.
12.I will not contact or solicit a supplier of Company products, and acknowledge that this will result
in automatic termination of vendor contract.

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Qualifiedvendorapp.pdf mia bella latino

  • 1. Scent-Sations, Inc 1 George Ave. Wilkes-Barre, PA 18705 Phone: (570)270-9010 Fax: (570)270-9012 Order Line: (866)207-2368 Qualified Vendor Program Agreement Member Information Name (your name or company) EIN or Social Security Number * Person to Contact (if using a company name) Phone Number Email Address Billing Address City State Zip Code Shipping Address (if different) City State Zip Code Representative Name Phone Number ID Number Payment Information Payment Method Credit Card Information Credit or Debit Card Type: ___ Visa ___ Mastercard ___ Discover ___ American Express Credit Card Number: ___________-___________-___________-___________ Exp. Date: ________-________ Name on Card: ___________________________________________________________ Card Holder Signature: ____________________________________________________ ___ Yes, keep this credit card on file for future orders. Business/Personal Check Information Business and personal checks are accepted but shipment will be held until funds clear. Reseller Saxes Tax ID Information ___ I am submitting my reseller sales tax id form. You must submit the sales tax exemption form provided for your state. (form #2 listed on the website, not your original sales tax license/permit.) I do not have a reseller sales tax id and understand that Scent-Sations, Inc . will collect all resellers taxes at suggested retail prices to remit to your state at the time of purchase. *Applications will NOT be processed without a vaild EIN or Social Security Number. Mia Bella Latino 407-329-3730 34967
  • 2. Scent-Sations, Inc. Terms & Conditions for U.S. Qualified Vendor 1. I am of legal age in the state of my residency. I agree that I am an independent contractor, responsible for determining my own business activities and not an agent, employee or legal representative of Scent-Sations, Inc. hereinafter referred to as "Company". I will not represent in any manner that I am an agent or representative of the Company. I have provided the Company with the appropriate legal documents showing that I am legally able to collect and remit sales taxes to my appropriate taxing jurisdictions and/or authorities. 2. This position does not constitute the sale of a franchise and no fees have been or will be required of me. 3. By submitting any information such as an e-mail address or mailing address, I agree to be on Company's mailing list, unless I notify Company otherwise. 4. In order to maintain a viable Marketing Program and to comply with changes in County, Federal, State and local laws or economic conditions, Company may provide Policies and Procedures for the Vendor from time to time. Such Policies and Procedures modifications, and all changes thereto shall be made at the sole discretion of the company and posted on the company website.. 5. I understand that no attorney or any other regulatory authority ever reviews, endorses or approves any product, or company, and I will make no such claims to others 6. Company shall deem this agreement in effect upon its receipt and acceptance, at the home office in Wilkes-Barre, Pennsylvania. 7. I will not use Company name, or the trade names, logos, photography, copyrighted material, trademarks or service marks of Company, except in materials provided by Company or approved in writing by Company prior to their use by me. I understand that unauthorized use or duplication of trademarks or copyrighted materials is a violation of federal and possibly international law. Any advertising must first be reviewed by Company. It is against company policy to retail Scent- Sations products on any online website. 8. Payment terms on Vendor purchases are cash, debit, or credit card (prepaid or credit)... debit cards are also accepted as long as they are backed by Visa or Mastercard. Business and personal checks are accepted but shipment will be held until funds clear. Vendor understands that the Company is allowing the use of debit cards as a courtesy and acknowledges that the Company does not assume responsibility for any overdrafts or for any other additional charges incurred by any vendor. 9. I will not make false or misleading statements about the Company, their Vendors or products and services. 10.This agreement is governed under laws of the state Pennsylvania. The parties agree that any claim, dispute or other difference between them shall be exclusively resolved by binding arbitration pursuant to the Commercial Arbitration Rules of the American Arbitration Association with arbitration to occur in Wilkes Barre, Pennsylvania. Louisiana Vendors arbitrate in New Orleans, Louisiana. 11.Vendors may return literature and products in resalable condition at any time within thirty (30) days of purchase less a 15% restocking fee. Any package that is refused by a Vendor will incur a
  • 3. 30% restocking fee. Shipping costs of returned items shall be borne by Vendor. Payment will be made within thirty (30) days of actual receipt of returned items. Deposits refundable upon written request within sixty (60) days of termination of Vendor. Request for refund may cancel this agreement at the option of Company. Defective product(s) may be returned for 100% refund with shipping costs borne by Company. All product returns must have a Return Authorization Number (received by calling customer service prior to shipping defective product(s). Company will NOT refund or replace any product that is returned for any other reason other than a defective product. 12.I will not contact or solicit a supplier of Company products, and acknowledge that this will result in automatic termination of vendor contract.