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    Company Information





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    Additional Information

    Additional Information Required (If applicable, please attach these documents below)





    Customer hereby grants permission to V2 Pharma, its subsidiaries, affiliates, and agents to send advertising and promotional material to the email(s) listed above. This operates as consent under the 47 U.S.C. § 227 of the Telephone Consumer Protection Act.

    Customer agrees to receive telemarketing calls or marketing emails from or on behalf of V2 Pharma or its agents or affiliates at the phone number and email address provided above.

    Customer understands that consent is not a condition of purchase.

    TERMS

    Customer agrees to abide by (I) standard terms of sale provided or made available by V2 Pharma, LLC and/or shown on V2 Pharma, LLC’s invoices or statements and (II) written agreements or terms of sale with V2 Pharma, LLC governing Customer’s account. Customer agrees to pay for all purchases, fees and other charges incurred by Customer or an authorized user of any account of Customer, including service charges on past due amounts at the highest rate permitted by law (including purchases shipped and/or billed to a third-party agent on behalf of Customer). Without limiting V2 Pharma, LLC’s other legal rights, V2 Pharma, LLC may exercise a right of set-off against amounts due Customers from V2 Pharma, LLC or any of its affiliates. V2 Pharma, LLC reserves the right, in its sole discretion, to change payment term (including imposing cash payment upon delivery), to limit total credit and/or to suspend or discontinue the shipment of any orders to Customer if V2 Pharma, LLC concludes that (I) there has been a material adverse change in the Customer’s financial condition or payment performance or (II) Customer has ceased or is likely to cease to meet V2 Pharma, LLC’s approved customer requirements.

    Customer hereby grants permission to V2 Pharma, LLC, its subsidiaries, affiliates, and agents to send advertising and promotional material to the email(s) listed above. This operates as consent under the 47 U.S.C. § 227 of the Telephone Consumer Protection Act. Customer agrees to receive telemarketing calls or marketing emails from or on behalf of V2 Pharma, LLC or its agents or affiliates at the phone number and email address provided above. Customer understands that consent is not a condition of purchase.

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    By hitting “Submit Application” I represent that I have sufficient authority to execute this application on behalf of the aplicant and bind the aplicant to the terms hereof.