DISCLAIMER & SIGNATURE
I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to set up or continue a distributorship.
At the time of application, I attest that I have the legal right to reside and work in this country (proof required). I understand I must provide a current Business Certificate of Good Standing for my state with this application. I authorize any person, organization, or company listed on this application to furnish you any and all information concerning my previous business experience. I also authorize you to request and receive such information including, but not limited to, any criminal conviction on my record.
In consideration for this distributorship, I agree to abide by the rules and regulations of the manufacturing company, which rules may be changed, withdrawn, added, or interpreted at any time.
I also acknowledge that the distributorship may be terminated, or any offer or acceptance of distributorship withdrawn, at any time, by either myself or 5 Star Industrial Coatings, LLC, for any reason not expressly prohibited by law.