Request for Credit Account

Teledyne Imaging Group

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Teledyne Imaging keeps submitted information in strict confidence in accordance with our Privacy Policy.

Fields marked with an asterisk (*) are required. Without this information we cannot process your credit application.

Business Unit Selection
Company Information
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If you are a customer in the USA you are required to send all copies of your tax exemption certificates on this application to the email address [email protected]. For all countries other than the USA sending the tax exemption certificate documents is optional.
Corporate Officers
Accounts Payable
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Routing Information
Teledyne Sales Contact
For faster processing, please indicate the name of your Teledyne sales contact.
Trade References
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Terms and Conditions

Terms of Sale

Usual terms of sale are payment in full thirty (30) days from date of invoice, unless otherwise specified in writing, by the seller. The applicant does hereby authorize Teledyne to conduct all credit investigations necessary for approval of this application. The applicant understands and accepts that Teledyne monitors accounts on an ongoing basis and will share trade information with other credit grantors and reporting agencies from time to time. Terms of credit must be approved and are not automatically granted. I understand and accept that Teledyne uses only electronic invoicing delivery methods. Payment is only accepted by electronic wire transfer, paper cheques are not accepted.

You consent to the use of this information for the purpose described above.
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By submitting this form, the personal information you supply will be used by Teledyne sales representatives and/or our distributors as necessary to respond to your enquiry and provide you with requested information or support. Please refer to our privacy policy for more information on how we use and store your personal information.