Stinger Chemicals New Account Application<\/title> <\/p>\n<style> .stinger-account-app { --red: #CC1111; --red-dark: #990D0D; --white: #ffffff; --black: #000000; --surface: #ffffff; --surface-2: #f4f4f4; --field: #ffffff; --muted: #000000; --line: rgba(0,0,0,0.24); --good: #1f8f4d; background: #ffffff; color: #000000; font-family: Arial, Helvetica, sans-serif; line-height: 1.38; width: 100%; } .stinger-account-app, .stinger-account-app * { box-sizing: border-box; } .stinger-account-app .wrap { max-width: 1770px; width: 100%; margin: 0 auto; padding: 18px; background: #ffffff; color: #000000; } .stinger-account-app .hero { background: #ffffff; border: 1px solid var(--line); border-radius: 18px; padding: 22px; margin-bottom: 18px; } .stinger-account-app .hero-title-logo { display: flex; align-items: center; justify-content: space-between; gap: 24px; } .stinger-account-app .hero-copy { flex: 1 1 auto; min-width: 0; } .stinger-account-app .hero-logo { max-width: 240px; width: 18%; min-width: 140px; height: auto; object-fit: contain; display: block; } .stinger-account-app .hero h1 { margin: 0 0 8px; font-size: clamp(34px, 4vw, 64px); line-height: .95; text-transform: uppercase; letter-spacing: .03em; color: #000000; } .stinger-account-app .hero h1 span { color: var(--red); } .stinger-account-app .hero p, .stinger-account-app p, .stinger-account-app small, .stinger-account-app label, .stinger-account-app .required-note, .stinger-account-app .terms-box, .stinger-account-app .signature-tools small { color: #000000; } .stinger-account-app .source-contact { margin-top: 8px; font-size: 13px; color: #000000; font-weight: 700; } .stinger-account-app .hero p { max-width: 980px; margin: 0; font-size: 15px; } .stinger-account-app .actions { display: flex; flex-wrap: wrap; gap: 10px; margin: 16px 0; background: #ffffff; padding: 0; border: 0; position: static; } .stinger-account-app button { border: 0; border-radius: 10px; padding: 11px 15px; color: #ffffff; background: var(--red); font-weight: 800; letter-spacing: .03em; text-transform: uppercase; cursor: pointer; font: 800 13px Arial, Helvetica, sans-serif; } .stinger-account-app button:hover { background: var(--red-dark); } .stinger-account-app button.secondary { background: #f3f3f3; color: #000000; border: 1px solid var(--line); } .stinger-account-app .notice { padding: 12px 14px; background: #ffffff; border: 1px solid var(--line); border-radius: 12px; color: #000000; margin: 14px 0 20px; font-size: 14px; } .stinger-account-app form { display: grid; gap: 16px; } .stinger-account-app .card { background: #ffffff; border: 1px solid var(--line); border-radius: 18px; overflow: hidden; color: #000000; } .stinger-account-app .card-header { background: #f3f3f3; border-bottom: 1px solid var(--line); padding: 14px 16px; display: flex; justify-content: space-between; gap: 12px; align-items: center; flex-wrap: wrap; color: #000000; } .stinger-account-app .card-header h2 { margin: 0; font-size: 22px; text-transform: uppercase; letter-spacing: .04em; color: #000000; } .stinger-account-app .card-body { padding: 16px; } .stinger-account-app .grid { display: grid; grid-template-columns: repeat(12, 1fr); gap: 12px; } .stinger-account-app .field { grid-column: span 4; display: flex; flex-direction: column; gap: 6px; } .stinger-account-app .field.wide { grid-column: span 8; } .stinger-account-app .field.full { grid-column: 1 \/ -1; } .stinger-account-app .field.half { grid-column: span 6; } .stinger-account-app .field.third { grid-column: span 4; } .stinger-account-app .field.quarter { grid-column: span 3; } .stinger-account-app label { font-size: 12px; font-weight: 800; text-transform: uppercase; letter-spacing: .08em; } .stinger-account-app input, .stinger-account-app select, .stinger-account-app textarea { width: 100%; border: 1px solid var(--line); border-radius: 10px; background: #ffffff; color: #000000; min-height: 40px; padding: 9px 11px; font: 15px Arial, Helvetica, sans-serif; outline: none; } .stinger-account-app textarea { min-height: 86px; resize: vertical; } .stinger-account-app input:focus, .stinger-account-app select:focus, .stinger-account-app textarea:focus { border-color: var(--red); box-shadow: 0 0 0 3px rgba(204,17,17,.14); } .stinger-account-app .radio-row, .stinger-account-app .check-row { display: flex; gap: 12px; flex-wrap: wrap; align-items: center; min-height: 40px; padding: 8px 10px; background: #ffffff; border: 1px solid var(--line); border-radius: 10px; color: #000000; } .stinger-account-app .radio-row label, .stinger-account-app .check-row label { display: inline-flex; align-items: center; gap: 7px; color: #000000; font-size: 13px; text-transform: none; letter-spacing: 0; font-weight: 600; } .stinger-account-app .radio-row input, .stinger-account-app .check-row input { width: auto; min-height: auto; } .stinger-account-app .repeat-title { grid-column: 1 \/ -1; margin: 10px 0 0; padding-top: 12px; border-top: 1px solid var(--line); color: #000000; font-weight: 900; text-transform: uppercase; letter-spacing: .08em; font-size: 13px; } .stinger-account-app .terms-box { background: #ffffff; border: 1px solid var(--line); border-radius: 12px; padding: 12px; max-height: 220px; overflow: auto; font-size: 13px; } .stinger-account-app .terms-box strong { color: #000000; } .stinger-account-app .footer, .stinger-account-app .topbar { display: none !important; } .stinger-account-app .success { display: none; margin-left: auto; padding: 10px 12px; border-radius: 10px; background: #ffffff; border: 1px solid var(--line); color: #000000; font-size: 13px; font-weight: 700; } .stinger-account-app .success.show { display: inline-flex; } .stinger-account-app .signature-pad-wrap { background: #ffffff; border: 1px solid var(--line); border-radius: 14px; padding: 12px; } .stinger-account-app canvas.signature-pad { width: 100%; height: 190px; display: block; background: #ffffff; border-radius: 10px; border: 1px solid rgba(0,0,0,.45); touch-action: none; cursor: crosshair; } .stinger-account-app .signature-tools { display: flex; gap: 10px; flex-wrap: wrap; align-items: center; justify-content: space-between; margin-top: 10px; } @media (max-width: 820px) { .stinger-account-app .field, .stinger-account-app .field.wide, .stinger-account-app .field.full, .stinger-account-app .field.half, .stinger-account-app .field.third, .stinger-account-app .field.quarter { grid-column: 1 \/ -1; } .stinger-account-app .hero-title-logo { flex-direction: column; align-items: flex-start; } .stinger-account-app .hero-logo { width: 180px; max-width: 70%; } .stinger-account-app button { width: 100%; } } <\/style>\n<p><\/head><body> <\/p>\n<div class=\"stinger-account-app\"> <main class=\"wrap\"> <\/p>\n<section class=\"hero hero-title-logo\"> <\/p>\n<div class=\"hero-copy\"> <\/p>\n<h1>New Account <span>Form<\/span><\/h1>\n<p> <pee>Complete the account, shipping, credit, guaranty, resale, and exemption information below. Please complete and return with resale certificate.<\/pee> <pee class=\"source-contact\">905 Live Oak St. Houston, TX 77003 \u00b7 888-STING-IT \u00b7 www.stingerchemicals.com \u00b7 (713) 227-1340 \u00b7 Fax (713) 225-1767 \u00b7 CARWASH | DETAIL | ADDITIVES \u00b7 Since 1988<\/pee> <\/div>\n<p> <img decoding=\"async\" class=\"hero-logo\" src=\"https:\/\/stingerchemicals.com\/wp-content\/uploads\/2025\/08\/cropped-be.png\" alt=\"Stinger Chemicals\" \/> <\/section>\n<p> <\/p>\n<div class=\"actions\"> <button type=\"button\" onclick=\"exportCSV()\">Export CSV<\/button> <button type=\"button\" onclick=\"exportExcel()\">Export Excel<\/button> <button type=\"button\" onclick=\"exportPDF()\">Export PDF<\/button> <button type=\"button\" class=\"secondary\" onclick=\"exportPDF()\">Print \/ Save PDF<\/button> <button type=\"button\" class=\"secondary\" onclick=\"clearForm()\">Clear Form<\/button> <span id=\"status\" class=\"success\">Export ready<\/span> <\/div>\n<p> <\/p>\n<div class=\"notice\"> Please complete and return with resale certificate. This web form runs locally in the browser and does not send data to a server. <\/div>\n<p> <\/p>\n<form id=\"accountForm\"> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>1. New Account Application<\/h2>\n<p> <small>Company and billing information<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field third\"> <label for=\"app_date\">Date<\/label> <input id=\"app_date\" name=\"Application Date\" type=\"date\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"email\">Email Address<\/label> <input id=\"email\" name=\"Email Address\" type=\"email\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"phone\">Phone<\/label> <input id=\"phone\" name=\"Phone\" type=\"tel\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"firm_name\">Firm Name<\/label> <input id=\"firm_name\" name=\"Firm Name\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"mailing_address\">Mailing Address<\/label> <input id=\"mailing_address\" name=\"Mailing Address\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"mail_city\">City<\/label> <input id=\"mail_city\" name=\"Mailing City\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"mail_state\">State<\/label> <input id=\"mail_state\" name=\"Mailing State\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"mail_zip\">Zip<\/label> <input id=\"mail_zip\" name=\"Mailing Zip\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field full\"> <label for=\"bill_to\">Bill To, if different from above<\/label> <input id=\"bill_to\" name=\"Bill To\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"bill_address\">Billing Address<\/label> <input id=\"bill_address\" name=\"Billing Address\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"bill_city\">Billing City<\/label> <input id=\"bill_city\" name=\"Billing City\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"bill_state\">Billing State<\/label> <input id=\"bill_state\" name=\"Billing State\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"bill_zip\">Billing Zip<\/label> <input id=\"bill_zip\" name=\"Billing Zip\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"tax_id\">Tax ID No.<\/label> <input id=\"tax_id\" name=\"Tax ID Number\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label>Type of Company<\/label> <\/p>\n<div class=\"radio-row\"> <label><input type=\"radio\" name=\"Type of Company\" value=\"Corporation\" \/> Corporation<\/label> <label><input type=\"radio\" name=\"Type of Company\" value=\"Partnership\" \/> Partnership<\/label> <label><input type=\"radio\" name=\"Type of Company\" value=\"Sole Proprietorship\" \/> Sole Proprietorship<\/label> <label><input type=\"radio\" name=\"Type of Company\" value=\"Other\" \/> Other<\/label> <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"years_business\">How Long in Business?<\/label> <input id=\"years_business\" name=\"How Long in Business\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"monthly_purchases\">Estimated Monthly Purchases<\/label> <input id=\"monthly_purchases\" name=\"Estimated Monthly Purchases\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label>Building<\/label> <\/p>\n<div class=\"radio-row\"> <label><input type=\"radio\" name=\"Building Status\" value=\"Own Building\" \/> Own<\/label> <label><input type=\"radio\" name=\"Building Status\" value=\"Rent Building\" \/> Rent<\/label> <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"business_type\">Type of Business<\/label> <input id=\"business_type\" name=\"Type of Business\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"credit_limit\">Credit Limit Requested<\/label> <input id=\"credit_limit\" name=\"Credit Limit Requested\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"sales_rep\">Stinger Sales Rep<\/label> <input id=\"sales_rep\" name=\"Stinger Sales Rep\" type=\"text\" \/> <\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>2. Personal Data of Owner-President<\/h2>\n<p> <small>Primary owner or president details<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field half\"> <label for=\"owner_name\">Owner-President Name in Full<\/label> <input id=\"owner_name\" name=\"Owner-President Name\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"owner_home\">Home Address, City, State, Zip<\/label> <input id=\"owner_home\" name=\"Owner Home Address\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"owner_how_long\">How Long<\/label> <input id=\"owner_how_long\" name=\"Owner How Long at Address\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"owner_county\">County<\/label> <input id=\"owner_county\" name=\"Owner County\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"owner_phone\">Phone<\/label> <input id=\"owner_phone\" name=\"Owner Phone\" type=\"tel\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"owner_age\">Age<\/label> <input id=\"owner_age\" name=\"Owner Age\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"owner_marital\">Marital Status<\/label> <input id=\"owner_marital\" name=\"Owner Marital Status\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"owner_ssn\">Social Security Number<\/label> <input id=\"owner_ssn\" name=\"Owner Social Security Number\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"driver_license_note\">Driver License Copy Attached?<\/label> <select id=\"driver_license_note\" name=\"Driver License Copy Attached\"><option value=\"\">Select<\/option><option>Yes<\/option><option>No<\/option> <\/select> <\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>3. Credit References<\/h2>\n<p> <small>Four requested references<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"repeat-title\">Credit Reference 1<\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Name<\/label><input name=\"Credit Reference 1 Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Street Address<\/label><input name=\"Credit Reference 1 Street Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>City<\/label><input name=\"Credit Reference 1 City\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>State<\/label><input name=\"Credit Reference 1 State\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Zip<\/label><input name=\"Credit Reference 1 Zip\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Phone<\/label><input name=\"Credit Reference 1 Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"repeat-title\">Credit Reference 2<\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Name<\/label><input name=\"Credit Reference 2 Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Street Address<\/label><input name=\"Credit Reference 2 Street Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>City<\/label><input name=\"Credit Reference 2 City\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>State<\/label><input name=\"Credit Reference 2 State\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Zip<\/label><input name=\"Credit Reference 2 Zip\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Phone<\/label><input name=\"Credit Reference 2 Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"repeat-title\">Credit Reference 3<\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Name<\/label><input name=\"Credit Reference 3 Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Street Address<\/label><input name=\"Credit Reference 3 Street Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>City<\/label><input name=\"Credit Reference 3 City\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>State<\/label><input name=\"Credit Reference 3 State\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Zip<\/label><input name=\"Credit Reference 3 Zip\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Phone<\/label><input name=\"Credit Reference 3 Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"repeat-title\">Credit Reference 4<\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Name<\/label><input name=\"Credit Reference 4 Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Street Address<\/label><input name=\"Credit Reference 4 Street Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>City<\/label><input name=\"Credit Reference 4 City\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>State<\/label><input name=\"Credit Reference 4 State\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Zip<\/label><input name=\"Credit Reference 4 Zip\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Phone<\/label><input name=\"Credit Reference 4 Phone\" type=\"tel\" \/><\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>4. Banking Data + Terms<\/h2>\n<p> <small>Banking information and office use<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field quarter\"> <label for=\"date_approved\">Date Approved<\/label> <input id=\"date_approved\" name=\"Date Approved\" type=\"date\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"account_no\">Account No.<\/label> <input id=\"account_no\" name=\"Account Number\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"bank_name\">Bank Name<\/label> <input id=\"bank_name\" name=\"Bank Name\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"bank_address\">Bank Address<\/label> <input id=\"bank_address\" name=\"Bank Address\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"bank_city_state_zip\">Bank City, State, Zip<\/label> <input id=\"bank_city_state_zip\" name=\"Bank City State Zip\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"checking_no\">Checking Account No.<\/label> <input id=\"checking_no\" name=\"Checking Account Number\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"bank_officer\">Bank Account Officer<\/label> <input id=\"bank_officer\" name=\"Bank Account Officer\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field full\"> <label>Terms Acknowledgment<\/label> <\/p>\n<div class=\"terms-box\"> <strong>Stinger Chemical, LLC. Terms on accounts:<\/strong> \u201cIt is agreed as part of the consideration for this sale that the price for the goods purchased shall be paid within 30 days from the day it is shipped. Any portion of the sale price not paid within said time period shall thereafter bear interest at the annual rate of eighteen percent (18%) annum.\u201d<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> <strong>Note:<\/strong> Applicant\u2019s signature attests to financial responsibility, willingness, and ability to pay our invoices in accordance with payment terms of STINGER. Applicant also assumes responsibility for all bills contracted in his name at the designated address, and if required to collect delinquent accounts, all collection agency fees, reasonable attorney fees, court costs, and any other costs of collection.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> The information given herein is for the purpose of obtaining credit and is warranted to be true. I\/We hereby authorize the firm to whom this application is made, Stinger Chemical, LLC., to investigate the references listed. I\/We have read fully and understand the above.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> <strong>Note:<\/strong> If a partnership, all partners must sign. If a corporation, an authorized corporate officer must sign. <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"terms_name_1\">Authorized Name \/ Signature 1<\/label> <input id=\"terms_name_1\" name=\"Terms Signature Name 1\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"terms_date_1\">Date<\/label> <input id=\"terms_date_1\" name=\"Terms Signature Date 1\" type=\"date\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"terms_name_2\">Authorized Name \/ Signature 2<\/label> <input id=\"terms_name_2\" name=\"Terms Signature Name 2\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"terms_date_2\">Date<\/label> <input id=\"terms_date_2\" name=\"Terms Signature Date 2\" type=\"date\" \/> <\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>5. Shipping Information<\/h2>\n<p> <small>Delivery and A\/P contact information<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field half\"><label>Customer<\/label><input name=\"Shipping Customer\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Sales Rep<\/label><input name=\"Shipping Sales Rep\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field full\"><label>Ship To Address<\/label><textarea name=\"Ship To Address\"><\/textarea><\/div>\n<p> <\/p>\n<div class=\"field half\"> <label>Is a Liftgate Required?<\/label> <\/p>\n<div class=\"radio-row\"> <label><input type=\"radio\" name=\"Liftgate Required\" value=\"Yes\" \/> Yes<\/label> <label><input type=\"radio\" name=\"Liftgate Required\" value=\"No\" \/> No<\/label> <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label>Delivery Appointment Needed?<\/label> <\/p>\n<div class=\"radio-row\"> <label><input type=\"radio\" name=\"Delivery Appointment Needed\" value=\"Yes\" \/> Yes<\/label> <label><input type=\"radio\" name=\"Delivery Appointment Needed\" value=\"No\" \/> No<\/label> <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field full\"><label>Delivery Hours<\/label><input name=\"Delivery Hours\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field full\"><label>If appointment is needed, name and number to call<\/label><input name=\"Appointment Contact Name and Number\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>A\/P Contact<\/label><input name=\"Accounts Payable Contact\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Phone Number<\/label><input name=\"Accounts Payable Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Email<\/label><input name=\"Accounts Payable Email\" type=\"email\" \/><\/div>\n<p> <\/p>\n<div class=\"field full\"><label>Special Instructions \/ Requirements<\/label><textarea name=\"Shipping Special Instructions\"><\/textarea><\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>6. Personal Guaranty<\/h2>\n<p> <small>Company, guarantor, and card information<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field full\"> <label>Guaranty Terms<\/label> <\/p>\n<div class=\"terms-box\"> In consideration of Stinger Chemical, LLC., granting credit to the above, the undersigned hereby personally and unconditionally guarantees the payment of all deliveries whether on open account or otherwise, made by Stinger Chemical, LLC. to or on behalf of the above mentioned concern.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> Guarantor agrees that Stinger is not required to seek payment from the above-named entity before Guarantor is obligated to pay any amount owed to Stinger, and that Stinger shall have the right at all times to proceed to collect from Guarantor regardless of whether Stinger has or has not first sought payment from any other person, firm or entity. There is no condition precedent to Guarantor\u2019s liability being primary. Guarantor waives any right to require that Stinger make any demand on any other party.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> This guaranty shall be continuous until Stinger is in receipt of certified or registered mail-return receipt requested notice from the undersigned, of the termination of this personal guaranty. Such notification shall not be effective until it is received by Stinger Chemical, LLC. and shall not cover shipments ordered prior to that time and still in transit prior to the receipt by Stinger of said notification.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> It is the guarantor\u2019s obligation to notify Stinger Chemical, LLC. by certified or registered mail-return receipt requested, of any change in the guarantor\u2019s status. Failure to notify Stinger Chemical, LLC., makes guarantor liable for any loss sustained.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> Guarantor agrees that Stinger may pursue avenues of collection, including authorizing Stinger to prepare and submit credit charge slips using any of the charge cards listed below to recover all charges and all other unpaid amounts due to guarantor\u2019s failure to timely pay outstanding balances due to Stinger Chemical, LLC.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> The undersigned also agrees to pay all collection costs or attorney\u2019s fees incurred by STINGER provided the account is placed for collection. Upon receipt by Stinger Chemical, LLC., of the termination of this personal guaranty, STINGER reserves the right to refuse further credit to the above mentioned concern. The undersigned further agrees to pay Stinger Chemical, LLC. a service charge assessed by Stinger Chemical, LLC. on amounts due STINGER by the undersigned which remain unpaid for more than thirty (30) days at 1.5% per month or 18% annum of the then outstanding balance. This guaranty shall be governed in accordance with the laws of the state of Texas. <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Company Name<\/label><input name=\"Guaranty Company Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Address<\/label><input name=\"Guaranty Company Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>City<\/label><input name=\"Guaranty Company City\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>State<\/label><input name=\"Guaranty Company State\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Zip<\/label><input name=\"Guaranty Company Zip\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Phone #<\/label><input name=\"Guaranty Company Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Fax #<\/label><input name=\"Guaranty Company Fax\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"repeat-title\">Guarantor 1<\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Signature<\/label><input name=\"Guarantor 1 Signature\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Print Name<\/label><input name=\"Guarantor 1 Print Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Date<\/label><input name=\"Guarantor 1 Date\" type=\"date\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Home Address<\/label><input name=\"Guarantor 1 Home Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Phone #<\/label><input name=\"Guarantor 1 Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"repeat-title\">Guarantor 2<\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Signature<\/label><input name=\"Guarantor 2 Signature\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Print Name<\/label><input name=\"Guarantor 2 Print Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Date<\/label><input name=\"Guarantor 2 Date\" type=\"date\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Home Address<\/label><input name=\"Guarantor 2 Home Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Phone #<\/label><input name=\"Guarantor 2 Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"repeat-title\">Guarantor 3<\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Signature<\/label><input name=\"Guarantor 3 Signature\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Print Name<\/label><input name=\"Guarantor 3 Print Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Date<\/label><input name=\"Guarantor 3 Date\" type=\"date\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Home Address<\/label><input name=\"Guarantor 3 Home Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Phone #<\/label><input name=\"Guarantor 3 Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"repeat-title\">Credit Card on File<\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Card Type<\/label> <select name=\"Card Type\"><option value=\"\">Select<\/option><option>American Express<\/option><option>Master Card<\/option><option>Visa<\/option> <\/select> <\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Account #<\/label><input name=\"Card Account Number\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Expiration<\/label><input name=\"Card Expiration\" type=\"text\" placeholder=\"MM\/YY\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Security Code<\/label><input name=\"Card Security Code\" type=\"text\" \/><\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>7. Credit & Freight Terms<\/h2>\n<p> <small>Credit approval, freight, receiving, and claims policy<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field full\"> <label>Credit & Freight Terms<\/label> <\/p>\n<div class=\"terms-box\"> Before we can ship any orders, the Stinger\u00ae Credit application and Personal Guaranty must be completely filled out and returned to our office.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> First time customers will pay their order up front before we can ship. Once all credit references have responded, Stinger\u00ae will determine a credit line based on the information we receive.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> Invoices must be paid in 30 days before subsequent orders can be released. All orders in-house will not be released until payments are received or arrangements have been made with our office.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> If for any reason the customer exceeds their credit limit established by our office, a payment must be made to reduce the amount owed on the account before orders can be released.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> <strong>Half Truckload Orders<\/strong> are considered to be ten (10) pallets or more, Stinger will pay half of the freight. Full Truckload orders are considered to be (20) pallets or more and Stinger will pay all of the freight. Anything less than 20 pallets will be considered a \u00bd Truckload and Stinger will only cover half of the freight charges. Invoices must be paid on time for freight discounts to apply for \u00bd TL and full TL orders.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> <strong>Please note:<\/strong> When receiving shipments from trucking companies, be sure that everything is on your shipment before signing their paperwork. Once signed, if anything is missing, then it is the customer\u2019s responsibility.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> Note any damage or missing items on the truckers\u2019 waybill and send us a copy. This will allow us to start the claim process. <\/div>\n<p> <\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>8. Texas Sales and Use Tax Resale Certificate<\/h2>\n<p> <small>01-339 resale certificate fields<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field half\"><label>Name of Purchaser, Firm or Agency<\/label><input name=\"Resale Purchaser Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Phone<\/label><input name=\"Resale Purchaser Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Address<\/label><input name=\"Resale Purchaser Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>City, State, ZIP Code<\/label><input name=\"Resale Purchaser City State Zip\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Texas Sales and Use Tax Permit Number<\/label><input name=\"Texas Sales and Use Tax Permit Number\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Out-of-state \/ RFC Number<\/label><input name=\"Out of State or RFC Number\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Seller<\/label><input name=\"Resale Seller\" type=\"text\" value=\"Stinger\u00ae Chemical, LLC\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Seller Street Address<\/label><input name=\"Resale Seller Street Address\" type=\"text\" value=\"1100 Pleasantville Drive\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Seller City, State, ZIP<\/label><input name=\"Resale Seller City State Zip\" type=\"text\" value=\"Houston, Texas 77029\" \/><\/div>\n<p> <\/p>\n<div class=\"field full\"><label>Description of Items to Be Purchased<\/label><textarea name=\"Resale Item Description\"><\/textarea><\/div>\n<p> <\/p>\n<div class=\"field full\"><label>Business Activity \/ Items Normally Sold<\/label><textarea name=\"Business Activity or Items Normally Sold\"><\/textarea><\/div>\n<p> <\/p>\n<div class=\"field full\"> <label>Resale Certificate Acknowledgment<\/label> <\/p>\n<div class=\"terms-box\"> I, the purchaser named above, claim the right to make a non-taxable purchase for resale of the taxable items described below or on the attached order or invoice from the seller listed above.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> The taxable items described above, or on the attached order or invoice, will be resold, rented or leased by me within the geographical limits of the United States of America, its territories and possessions or within the geographical limits of the United Mexican States, in their present form or attached to other taxable items to be sold.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> I understand that if I make any use of the items other than retention, demonstration or display while holding them for sale, lease or rental, I must pay sales tax on the items at the time of use based upon either the purchase price or the fair market rental value for the period of time used.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> I understand that it is a criminal offense to give a resale certificate to the seller for taxable items that I know, at the time of purchase, are purchased for use rather than for the purpose of resale, lease or rental, and depending on the amount of tax evaded, the offense may range from a Class C misdemeanor to a felony of the second degree.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> This certificate should be furnished to the supplier. Do not send the completed certificate to the Comptroller of Public Accounts. <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Purchaser<\/label><input name=\"Resale Purchaser Signature\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Title<\/label><input name=\"Resale Purchaser Title\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Date<\/label><input name=\"Resale Date\" type=\"date\" \/><\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>9. Texas Sales and Use Tax Exemption Certification<\/h2>\n<p> <small>Use only when exemption applies<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field half\"><label>Name of Purchaser, Firm or Agency<\/label><input name=\"Exemption Purchaser Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Phone<\/label><input name=\"Exemption Purchaser Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Address<\/label><input name=\"Exemption Purchaser Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>City, State, ZIP Code<\/label><input name=\"Exemption Purchaser City State Zip\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Seller<\/label><input name=\"Exemption Seller\" type=\"text\" value=\"Stinger\u00ae Chemical, LLC\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Seller Street Address<\/label><input name=\"Exemption Seller Street Address\" type=\"text\" value=\"1100 Pleasantville Drive\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Seller City, State, ZIP<\/label><input name=\"Exemption Seller City State Zip\" type=\"text\" value=\"Houston, Texas 77029\" \/><\/div>\n<p> <\/p>\n<div class=\"field full\"><label>Description of Items to Be Purchased<\/label><textarea name=\"Exemption Item Description\"><\/textarea><\/div>\n<p> <\/p>\n<div class=\"field full\"><label>Reason for Exemption<\/label><textarea name=\"Exemption Reason\"><\/textarea><\/div>\n<p> <\/p>\n<div class=\"field full\"> <label>Exemption Certification Acknowledgment<\/label> <\/p>\n<div class=\"terms-box\"> This certificate does not require a number to be valid.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> I, the purchaser named above, claim an exemption from payment of sales and use taxes for the purchase of taxable items described below or on the attached order or invoice from the seller listed above.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> I understand that I will be liable for payment of all state and local sales or use taxes which may become due for failure to comply with the provisions of the Tax Code and\/or all applicable law.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> I understand that it is a criminal offense to give an exemption certificate to the seller for taxable items that I know, at the time of purchase, will be used in a manner other than that expressed in this certificate, and depending on the amount of tax evaded, the offense may range from a Class C misdemeanor to a felony of the second degree.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> <strong>Note:<\/strong> This certificate cannot be issued for the purchase, lease, or rental of a motor vehicle. This certificate does not require a number to be valid. Sales and Use Tax \u201cExemption Numbers\u201d or \u201cTax Exempt\u201d Numbers do not exist.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> This certificate should be furnished to the supplier. Do not send the completed certificate to the Comptroller of Public Accounts. <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Purchaser<\/label><input name=\"Exemption Purchaser Signature\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Title<\/label><input name=\"Exemption Purchaser Title\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Date<\/label><input name=\"Exemption Date\" type=\"date\" \/><\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>10. Digital Signature<\/h2>\n<p> <small>Final authorization<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field full\"> <label>Draw Signature<\/label> <\/p>\n<div class=\"signature-pad-wrap\"> <canvas id=\"signaturePad\" class=\"signature-pad\"><\/canvas> <\/p>\n<div class=\"signature-tools\"> <small>Use a mouse, trackpad, or finger to sign inside the white box.<\/small> <button type=\"button\" class=\"secondary\" onclick=\"clearSignature()\">Clear Signature<\/button> <\/div>\n<p> <\/div>\n<p> <input id=\"signature_status\" name=\"Digital Signature Status\" type=\"hidden\" value=\"Not signed\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"digital_signature_name\">Printed Name<\/label> <input id=\"digital_signature_name\" name=\"Digital Signature Printed Name\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"digital_signature_title\">Title<\/label> <input id=\"digital_signature_title\" name=\"Digital Signature Title\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"digital_signature_date\">Date<\/label> <input id=\"digital_signature_date\" name=\"Digital Signature Date\" type=\"date\" \/> <\/div>\n<p> <\/p>\n<div class=\"field full\"> <label>Signature Agreement<\/label> <\/p>\n<div class=\"check-row\"> <label> <input type=\"checkbox\" name=\"Digital Signature Agreement\" value=\"Agreed\" \/> I certify that the information provided is true and authorize Stinger Chemical, LLC. to review and process this new account application. <\/label> <\/div>\n<p> <\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/form>\n<p><\/main> <script> const form = document.getElementById(\"accountForm\"); const statusEl = document.getElementById(\"status\"); const signatureCanvas = document.getElementById(\"signaturePad\"); const signatureStatus = document.getElementById(\"signature_status\"); const signatureCtx = signatureCanvas.getContext(\"2d\"); let isSigning = false; let hasSignature = false; function resizeSignatureCanvas() { const data = signatureCanvas.toDataURL(); const rect = signatureCanvas.getBoundingClientRect(); const ratio = Math.max(window.devicePixelRatio || 1, 1); signatureCanvas.width = rect.width * ratio; signatureCanvas.height = rect.height * ratio; signatureCtx.setTransform(ratio, 0, 0, ratio, 0, 0); signatureCtx.lineWidth = 2.5; signatureCtx.lineCap = \"round\"; signatureCtx.lineJoin = \"round\"; signatureCtx.strokeStyle = \"#000000\"; if (hasSignature) { const img = new Image(); img.onload = () => signatureCtx.drawImage(img, 0, 0, rect.width, rect.height); img.src = data; } } function signaturePoint(event) { const rect = signatureCanvas.getBoundingClientRect(); const touch = event.touches && event.touches[0] ? event.touches[0] : event; return { x: touch.clientX - rect.left, y: touch.clientY - rect.top }; } function startSignature(event) { event.preventDefault(); isSigning = true; const point = signaturePoint(event); signatureCtx.beginPath(); signatureCtx.moveTo(point.x, point.y); } function drawSignature(event) { if (!isSigning) return; event.preventDefault(); const point = signaturePoint(event); signatureCtx.lineTo(point.x, point.y); signatureCtx.stroke(); hasSignature = true; signatureStatus.value = \"Signed\"; } function stopSignature() { if (!isSigning) return; isSigning = false; signatureCtx.closePath(); } function clearSignature() { const rect = signatureCanvas.getBoundingClientRect(); signatureCtx.clearRect(0, 0, rect.width, rect.height); hasSignature = false; signatureStatus.value = \"Not signed\"; showStatus(\"Signature cleared\"); } signatureCanvas.addEventListener(\"mousedown\", startSignature); signatureCanvas.addEventListener(\"mousemove\", drawSignature); window.addEventListener(\"mouseup\", stopSignature); signatureCanvas.addEventListener(\"touchstart\", startSignature, { passive: false }); signatureCanvas.addEventListener(\"touchmove\", drawSignature, { passive: false }); window.addEventListener(\"touchend\", stopSignature); window.addEventListener(\"resize\", resizeSignatureCanvas); window.addEventListener(\"load\", resizeSignatureCanvas); function showStatus(message) { statusEl.textContent = message; statusEl.classList.add(\"show\"); window.setTimeout(() => statusEl.classList.remove(\"show\"), 2200); } function getFormRows() { const rows = []; const usedRadioGroups = new Set(); const controls = Array.from(form.querySelectorAll(\"input, select, textarea\")); controls.forEach((el) => { if (!el.name) return; if (el.type === \"radio\") { if (usedRadioGroups.has(el.name)) return; usedRadioGroups.add(el.name); const checked = form.querySelector(`input[type=\"radio\"][name=\"${CSS.escape(el.name)}\"]:checked`); rows.push({ field: el.name, value: checked ? checked.value : \"\" }); return; } if (el.type === \"checkbox\") { rows.push({ field: el.name, value: el.checked ? \"Yes\" : \"No\" }); return; } rows.push({ field: el.name, value: el.value || \"\" }); }); if (hasSignature) { rows.push({ field: \"Digital Signature Image Data\", value: signatureCanvas.toDataURL(\"image\/png\") }); } else { rows.push({ field: \"Digital Signature Image Data\", value: \"\" }); } return rows; } function csvEscape(value) { const text = String(value ?? \"\"); return `\"${text.replace(\/\"\/g, '\"\"')}\"`; } function buildCSV() { const rows = getFormRows(); const header = [\"Field\", \"Value\"]; const body = rows.map(row => [row.field, row.value]); return [header, ...body].map(row => row.map(csvEscape).join(\",\")).join(\"\\n\"); } function downloadBlob(content, filename, mimeType) { const blob = new Blob([content], { type: mimeType }); const url = URL.createObjectURL(blob); const a = document.createElement(\"a\"); a.href = url; a.download = filename; document.body.appendChild(a); a.click(); a.remove(); URL.revokeObjectURL(url); } function fileDateStamp() { const now = new Date(); const yyyy = now.getFullYear(); 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[et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” background_color=”#000000″ use_background_color_gradient=”on” background_color_gradient_stops=”#ff3233 0%|#0a0000 100%” global_colors_info=”{}”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” max_width=”1530px” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_code _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}” hover_enabled=”0″ sticky_enabled=”0″] Stinger Chemicals New Account Application<\/title> <\/p>\n<style> .stinger-account-app { --red: #CC1111; --red-dark: #990D0D; --white: #ffffff; --black: #000000; --surface: #ffffff; --surface-2: #f4f4f4; --field: #ffffff; --muted: #000000; --line: rgba(0,0,0,0.24); --good: #1f8f4d; background: #ffffff; color: #000000; font-family: Arial, Helvetica, sans-serif; line-height: 1.38; width: 100%; } .stinger-account-app, .stinger-account-app * { box-sizing: border-box; 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} } <\/style>\n<p><\/head><body> <\/p>\n<div class=\"stinger-account-app\"> <main class=\"wrap\"> <\/p>\n<section class=\"hero hero-title-logo\"> <\/p>\n<div class=\"hero-copy\"> <\/p>\n<h1>New Account <span>Form<\/span><\/h1>\n<p> <pee>Complete the account, shipping, credit, guaranty, resale, and exemption information below. Please complete and return with resale certificate.<\/pee> <pee class=\"source-contact\">905 Live Oak St. Houston, TX 77003 \u00b7 888-STING-IT \u00b7 www.stingerchemicals.com \u00b7 (713) 227-1340 \u00b7 Fax (713) 225-1767 \u00b7 CARWASH | DETAIL | ADDITIVES \u00b7 Since 1988<\/pee> <\/div>\n<p> <img decoding=\"async\" class=\"hero-logo\" src=\"https:\/\/stingerchemicals.com\/wp-content\/uploads\/2025\/08\/cropped-be.png\" alt=\"Stinger Chemicals\" \/> <\/section>\n<p> <\/p>\n<div class=\"actions\"> <button type=\"button\" onclick=\"exportCSV()\">Export CSV<\/button> <button type=\"button\" onclick=\"exportExcel()\">Export Excel<\/button> <button type=\"button\" onclick=\"exportPDF()\">Export PDF<\/button> <button type=\"button\" class=\"secondary\" onclick=\"exportPDF()\">Print \/ Save PDF<\/button> <button type=\"button\" class=\"secondary\" onclick=\"clearForm()\">Clear Form<\/button> <span id=\"status\" class=\"success\">Export ready<\/span> <\/div>\n<p> <\/p>\n<div class=\"notice\"> Please complete and return with resale certificate. This web form runs locally in the browser and does not send data to a server. <\/div>\n<p> <\/p>\n<form id=\"accountForm\"> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>1. New Account Application<\/h2>\n<p> <small>Company and billing information<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field third\"> <label for=\"app_date\">Date<\/label> <input id=\"app_date\" name=\"Application Date\" type=\"date\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"email\">Email Address<\/label> <input id=\"email\" name=\"Email Address\" type=\"email\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"phone\">Phone<\/label> <input id=\"phone\" name=\"Phone\" type=\"tel\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"firm_name\">Firm Name<\/label> <input id=\"firm_name\" name=\"Firm Name\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"mailing_address\">Mailing Address<\/label> <input id=\"mailing_address\" name=\"Mailing Address\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"mail_city\">City<\/label> <input id=\"mail_city\" name=\"Mailing City\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"mail_state\">State<\/label> <input id=\"mail_state\" name=\"Mailing State\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"mail_zip\">Zip<\/label> <input id=\"mail_zip\" name=\"Mailing Zip\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field full\"> <label for=\"bill_to\">Bill To, if different from above<\/label> <input id=\"bill_to\" name=\"Bill To\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"bill_address\">Billing Address<\/label> <input id=\"bill_address\" name=\"Billing Address\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"bill_city\">Billing City<\/label> <input id=\"bill_city\" name=\"Billing City\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"bill_state\">Billing State<\/label> <input id=\"bill_state\" name=\"Billing State\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"bill_zip\">Billing Zip<\/label> <input id=\"bill_zip\" name=\"Billing Zip\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"tax_id\">Tax ID No.<\/label> <input id=\"tax_id\" name=\"Tax ID Number\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label>Type of Company<\/label> <\/p>\n<div class=\"radio-row\"> <label><input type=\"radio\" name=\"Type of Company\" value=\"Corporation\" \/> Corporation<\/label> <label><input type=\"radio\" name=\"Type of Company\" value=\"Partnership\" \/> Partnership<\/label> <label><input type=\"radio\" name=\"Type of Company\" value=\"Sole Proprietorship\" \/> Sole Proprietorship<\/label> <label><input type=\"radio\" name=\"Type of Company\" value=\"Other\" \/> Other<\/label> <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"years_business\">How Long in Business?<\/label> <input id=\"years_business\" name=\"How Long in Business\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"monthly_purchases\">Estimated Monthly Purchases<\/label> <input id=\"monthly_purchases\" name=\"Estimated Monthly Purchases\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label>Building<\/label> <\/p>\n<div class=\"radio-row\"> <label><input type=\"radio\" name=\"Building Status\" value=\"Own Building\" \/> Own<\/label> <label><input type=\"radio\" name=\"Building Status\" value=\"Rent Building\" \/> Rent<\/label> <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"business_type\">Type of Business<\/label> <input id=\"business_type\" name=\"Type of Business\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"credit_limit\">Credit Limit Requested<\/label> <input id=\"credit_limit\" name=\"Credit Limit Requested\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"sales_rep\">Stinger Sales Rep<\/label> <input id=\"sales_rep\" name=\"Stinger Sales Rep\" type=\"text\" \/> <\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>2. Personal Data of Owner-President<\/h2>\n<p> <small>Primary owner or president details<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field half\"> <label for=\"owner_name\">Owner-President Name in Full<\/label> <input id=\"owner_name\" name=\"Owner-President Name\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"owner_home\">Home Address, City, State, Zip<\/label> <input id=\"owner_home\" name=\"Owner Home Address\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"owner_how_long\">How Long<\/label> <input id=\"owner_how_long\" name=\"Owner How Long at Address\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"owner_county\">County<\/label> <input id=\"owner_county\" name=\"Owner County\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"owner_phone\">Phone<\/label> <input id=\"owner_phone\" name=\"Owner Phone\" type=\"tel\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"owner_age\">Age<\/label> <input id=\"owner_age\" name=\"Owner Age\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"owner_marital\">Marital Status<\/label> <input id=\"owner_marital\" name=\"Owner Marital Status\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"owner_ssn\">Social Security Number<\/label> <input id=\"owner_ssn\" name=\"Owner Social Security Number\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"driver_license_note\">Driver License Copy Attached?<\/label> <select id=\"driver_license_note\" name=\"Driver License Copy Attached\"><option value=\"\">Select<\/option><option>Yes<\/option><option>No<\/option> <\/select> <\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>3. Credit References<\/h2>\n<p> <small>Four requested references<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"repeat-title\">Credit Reference 1<\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Name<\/label><input name=\"Credit Reference 1 Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Street Address<\/label><input name=\"Credit Reference 1 Street Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>City<\/label><input name=\"Credit Reference 1 City\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>State<\/label><input name=\"Credit Reference 1 State\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Zip<\/label><input name=\"Credit Reference 1 Zip\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Phone<\/label><input name=\"Credit Reference 1 Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"repeat-title\">Credit Reference 2<\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Name<\/label><input name=\"Credit Reference 2 Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Street Address<\/label><input name=\"Credit Reference 2 Street Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>City<\/label><input name=\"Credit Reference 2 City\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>State<\/label><input name=\"Credit Reference 2 State\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Zip<\/label><input name=\"Credit Reference 2 Zip\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Phone<\/label><input name=\"Credit Reference 2 Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"repeat-title\">Credit Reference 3<\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Name<\/label><input name=\"Credit Reference 3 Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Street Address<\/label><input name=\"Credit Reference 3 Street Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>City<\/label><input name=\"Credit Reference 3 City\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>State<\/label><input name=\"Credit Reference 3 State\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Zip<\/label><input name=\"Credit Reference 3 Zip\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Phone<\/label><input name=\"Credit Reference 3 Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"repeat-title\">Credit Reference 4<\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Name<\/label><input name=\"Credit Reference 4 Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Street Address<\/label><input name=\"Credit Reference 4 Street Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>City<\/label><input name=\"Credit Reference 4 City\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>State<\/label><input name=\"Credit Reference 4 State\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Zip<\/label><input name=\"Credit Reference 4 Zip\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Phone<\/label><input name=\"Credit Reference 4 Phone\" type=\"tel\" \/><\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>4. Banking Data + Terms<\/h2>\n<p> <small>Banking information and office use<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field quarter\"> <label for=\"date_approved\">Date Approved<\/label> <input id=\"date_approved\" name=\"Date Approved\" type=\"date\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"account_no\">Account No.<\/label> <input id=\"account_no\" name=\"Account Number\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"bank_name\">Bank Name<\/label> <input id=\"bank_name\" name=\"Bank Name\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"bank_address\">Bank Address<\/label> <input id=\"bank_address\" name=\"Bank Address\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"bank_city_state_zip\">Bank City, State, Zip<\/label> <input id=\"bank_city_state_zip\" name=\"Bank City State Zip\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"checking_no\">Checking Account No.<\/label> <input id=\"checking_no\" name=\"Checking Account Number\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"bank_officer\">Bank Account Officer<\/label> <input id=\"bank_officer\" name=\"Bank Account Officer\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field full\"> <label>Terms Acknowledgment<\/label> <\/p>\n<div class=\"terms-box\"> <strong>Stinger Chemical, LLC. Terms on accounts:<\/strong> \u201cIt is agreed as part of the consideration for this sale that the price for the goods purchased shall be paid within 30 days from the day it is shipped. Any portion of the sale price not paid within said time period shall thereafter bear interest at the annual rate of eighteen percent (18%) annum.\u201d<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> <strong>Note:<\/strong> Applicant\u2019s signature attests to financial responsibility, willingness, and ability to pay our invoices in accordance with payment terms of STINGER. Applicant also assumes responsibility for all bills contracted in his name at the designated address, and if required to collect delinquent accounts, all collection agency fees, reasonable attorney fees, court costs, and any other costs of collection.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> The information given herein is for the purpose of obtaining credit and is warranted to be true. I\/We hereby authorize the firm to whom this application is made, Stinger Chemical, LLC., to investigate the references listed. I\/We have read fully and understand the above.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> <strong>Note:<\/strong> If a partnership, all partners must sign. If a corporation, an authorized corporate officer must sign. <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"terms_name_1\">Authorized Name \/ Signature 1<\/label> <input id=\"terms_name_1\" name=\"Terms Signature Name 1\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"terms_date_1\">Date<\/label> <input id=\"terms_date_1\" name=\"Terms Signature Date 1\" type=\"date\" \/> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label for=\"terms_name_2\">Authorized Name \/ Signature 2<\/label> <input id=\"terms_name_2\" name=\"Terms Signature Name 2\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field quarter\"> <label for=\"terms_date_2\">Date<\/label> <input id=\"terms_date_2\" name=\"Terms Signature Date 2\" type=\"date\" \/> <\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>5. Shipping Information<\/h2>\n<p> <small>Delivery and A\/P contact information<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field half\"><label>Customer<\/label><input name=\"Shipping Customer\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Sales Rep<\/label><input name=\"Shipping Sales Rep\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field full\"><label>Ship To Address<\/label><textarea name=\"Ship To Address\"><\/textarea><\/div>\n<p> <\/p>\n<div class=\"field half\"> <label>Is a Liftgate Required?<\/label> <\/p>\n<div class=\"radio-row\"> <label><input type=\"radio\" name=\"Liftgate Required\" value=\"Yes\" \/> Yes<\/label> <label><input type=\"radio\" name=\"Liftgate Required\" value=\"No\" \/> No<\/label> <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field half\"> <label>Delivery Appointment Needed?<\/label> <\/p>\n<div class=\"radio-row\"> <label><input type=\"radio\" name=\"Delivery Appointment Needed\" value=\"Yes\" \/> Yes<\/label> <label><input type=\"radio\" name=\"Delivery Appointment Needed\" value=\"No\" \/> No<\/label> <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field full\"><label>Delivery Hours<\/label><input name=\"Delivery Hours\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field full\"><label>If appointment is needed, name and number to call<\/label><input name=\"Appointment Contact Name and Number\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>A\/P Contact<\/label><input name=\"Accounts Payable Contact\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Phone Number<\/label><input name=\"Accounts Payable Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Email<\/label><input name=\"Accounts Payable Email\" type=\"email\" \/><\/div>\n<p> <\/p>\n<div class=\"field full\"><label>Special Instructions \/ Requirements<\/label><textarea name=\"Shipping Special Instructions\"><\/textarea><\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>6. Personal Guaranty<\/h2>\n<p> <small>Company, guarantor, and card information<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field full\"> <label>Guaranty Terms<\/label> <\/p>\n<div class=\"terms-box\"> In consideration of Stinger Chemical, LLC., granting credit to the above, the undersigned hereby personally and unconditionally guarantees the payment of all deliveries whether on open account or otherwise, made by Stinger Chemical, LLC. to or on behalf of the above mentioned concern.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> Guarantor agrees that Stinger is not required to seek payment from the above-named entity before Guarantor is obligated to pay any amount owed to Stinger, and that Stinger shall have the right at all times to proceed to collect from Guarantor regardless of whether Stinger has or has not first sought payment from any other person, firm or entity. There is no condition precedent to Guarantor\u2019s liability being primary. Guarantor waives any right to require that Stinger make any demand on any other party.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> This guaranty shall be continuous until Stinger is in receipt of certified or registered mail-return receipt requested notice from the undersigned, of the termination of this personal guaranty. Such notification shall not be effective until it is received by Stinger Chemical, LLC. and shall not cover shipments ordered prior to that time and still in transit prior to the receipt by Stinger of said notification.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> It is the guarantor\u2019s obligation to notify Stinger Chemical, LLC. by certified or registered mail-return receipt requested, of any change in the guarantor\u2019s status. Failure to notify Stinger Chemical, LLC., makes guarantor liable for any loss sustained.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> Guarantor agrees that Stinger may pursue avenues of collection, including authorizing Stinger to prepare and submit credit charge slips using any of the charge cards listed below to recover all charges and all other unpaid amounts due to guarantor\u2019s failure to timely pay outstanding balances due to Stinger Chemical, LLC.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> The undersigned also agrees to pay all collection costs or attorney\u2019s fees incurred by STINGER provided the account is placed for collection. Upon receipt by Stinger Chemical, LLC., of the termination of this personal guaranty, STINGER reserves the right to refuse further credit to the above mentioned concern. The undersigned further agrees to pay Stinger Chemical, LLC. a service charge assessed by Stinger Chemical, LLC. on amounts due STINGER by the undersigned which remain unpaid for more than thirty (30) days at 1.5% per month or 18% annum of the then outstanding balance. This guaranty shall be governed in accordance with the laws of the state of Texas. <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Company Name<\/label><input name=\"Guaranty Company Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Address<\/label><input name=\"Guaranty Company Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>City<\/label><input name=\"Guaranty Company City\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>State<\/label><input name=\"Guaranty Company State\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Zip<\/label><input name=\"Guaranty Company Zip\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Phone #<\/label><input name=\"Guaranty Company Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"field quarter\"><label>Fax #<\/label><input name=\"Guaranty Company Fax\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"repeat-title\">Guarantor 1<\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Signature<\/label><input name=\"Guarantor 1 Signature\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Print Name<\/label><input name=\"Guarantor 1 Print Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Date<\/label><input name=\"Guarantor 1 Date\" type=\"date\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Home Address<\/label><input name=\"Guarantor 1 Home Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Phone #<\/label><input name=\"Guarantor 1 Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"repeat-title\">Guarantor 2<\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Signature<\/label><input name=\"Guarantor 2 Signature\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Print Name<\/label><input name=\"Guarantor 2 Print Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Date<\/label><input name=\"Guarantor 2 Date\" type=\"date\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Home Address<\/label><input name=\"Guarantor 2 Home Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Phone #<\/label><input name=\"Guarantor 2 Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"repeat-title\">Guarantor 3<\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Signature<\/label><input name=\"Guarantor 3 Signature\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Print Name<\/label><input name=\"Guarantor 3 Print Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Date<\/label><input name=\"Guarantor 3 Date\" type=\"date\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Home Address<\/label><input name=\"Guarantor 3 Home Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Phone #<\/label><input name=\"Guarantor 3 Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"repeat-title\">Credit Card on File<\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Card Type<\/label> <select name=\"Card Type\"><option value=\"\">Select<\/option><option>American Express<\/option><option>Master Card<\/option><option>Visa<\/option> <\/select> <\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Account #<\/label><input name=\"Card Account Number\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Expiration<\/label><input name=\"Card Expiration\" type=\"text\" placeholder=\"MM\/YY\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Security Code<\/label><input name=\"Card Security Code\" type=\"text\" \/><\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>7. Credit & Freight Terms<\/h2>\n<p> <small>Credit approval, freight, receiving, and claims policy<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field full\"> <label>Credit & Freight Terms<\/label> <\/p>\n<div class=\"terms-box\"> Before we can ship any orders, the Stinger\u00ae Credit application and Personal Guaranty must be completely filled out and returned to our office.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> First time customers will pay their order up front before we can ship. Once all credit references have responded, Stinger\u00ae will determine a credit line based on the information we receive.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> Invoices must be paid in 30 days before subsequent orders can be released. All orders in-house will not be released until payments are received or arrangements have been made with our office.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> If for any reason the customer exceeds their credit limit established by our office, a payment must be made to reduce the amount owed on the account before orders can be released.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> <strong>Half Truckload Orders<\/strong> are considered to be ten (10) pallets or more, Stinger will pay half of the freight. Full Truckload orders are considered to be (20) pallets or more and Stinger will pay all of the freight. Anything less than 20 pallets will be considered a \u00bd Truckload and Stinger will only cover half of the freight charges. Invoices must be paid on time for freight discounts to apply for \u00bd TL and full TL orders.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> <strong>Please note:<\/strong> When receiving shipments from trucking companies, be sure that everything is on your shipment before signing their paperwork. Once signed, if anything is missing, then it is the customer\u2019s responsibility.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> Note any damage or missing items on the truckers\u2019 waybill and send us a copy. This will allow us to start the claim process. <\/div>\n<p> <\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>8. Texas Sales and Use Tax Resale Certificate<\/h2>\n<p> <small>01-339 resale certificate fields<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field half\"><label>Name of Purchaser, Firm or Agency<\/label><input name=\"Resale Purchaser Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Phone<\/label><input name=\"Resale Purchaser Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Address<\/label><input name=\"Resale Purchaser Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>City, State, ZIP Code<\/label><input name=\"Resale Purchaser City State Zip\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Texas Sales and Use Tax Permit Number<\/label><input name=\"Texas Sales and Use Tax Permit Number\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Out-of-state \/ RFC Number<\/label><input name=\"Out of State or RFC Number\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Seller<\/label><input name=\"Resale Seller\" type=\"text\" value=\"Stinger\u00ae Chemical, LLC\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Seller Street Address<\/label><input name=\"Resale Seller Street Address\" type=\"text\" value=\"1100 Pleasantville Drive\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Seller City, State, ZIP<\/label><input name=\"Resale Seller City State Zip\" type=\"text\" value=\"Houston, Texas 77029\" \/><\/div>\n<p> <\/p>\n<div class=\"field full\"><label>Description of Items to Be Purchased<\/label><textarea name=\"Resale Item Description\"><\/textarea><\/div>\n<p> <\/p>\n<div class=\"field full\"><label>Business Activity \/ Items Normally Sold<\/label><textarea name=\"Business Activity or Items Normally Sold\"><\/textarea><\/div>\n<p> <\/p>\n<div class=\"field full\"> <label>Resale Certificate Acknowledgment<\/label> <\/p>\n<div class=\"terms-box\"> I, the purchaser named above, claim the right to make a non-taxable purchase for resale of the taxable items described below or on the attached order or invoice from the seller listed above.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> The taxable items described above, or on the attached order or invoice, will be resold, rented or leased by me within the geographical limits of the United States of America, its territories and possessions or within the geographical limits of the United Mexican States, in their present form or attached to other taxable items to be sold.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> I understand that if I make any use of the items other than retention, demonstration or display while holding them for sale, lease or rental, I must pay sales tax on the items at the time of use based upon either the purchase price or the fair market rental value for the period of time used.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> I understand that it is a criminal offense to give a resale certificate to the seller for taxable items that I know, at the time of purchase, are purchased for use rather than for the purpose of resale, lease or rental, and depending on the amount of tax evaded, the offense may range from a Class C misdemeanor to a felony of the second degree.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> This certificate should be furnished to the supplier. Do not send the completed certificate to the Comptroller of Public Accounts. <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Purchaser<\/label><input name=\"Resale Purchaser Signature\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Title<\/label><input name=\"Resale Purchaser Title\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Date<\/label><input name=\"Resale Date\" type=\"date\" \/><\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>9. Texas Sales and Use Tax Exemption Certification<\/h2>\n<p> <small>Use only when exemption applies<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field half\"><label>Name of Purchaser, Firm or Agency<\/label><input name=\"Exemption Purchaser Name\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Phone<\/label><input name=\"Exemption Purchaser Phone\" type=\"tel\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Address<\/label><input name=\"Exemption Purchaser Address\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>City, State, ZIP Code<\/label><input name=\"Exemption Purchaser City State Zip\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Seller<\/label><input name=\"Exemption Seller\" type=\"text\" value=\"Stinger\u00ae Chemical, LLC\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Seller Street Address<\/label><input name=\"Exemption Seller Street Address\" type=\"text\" value=\"1100 Pleasantville Drive\" \/><\/div>\n<p> <\/p>\n<div class=\"field half\"><label>Seller City, State, ZIP<\/label><input name=\"Exemption Seller City State Zip\" type=\"text\" value=\"Houston, Texas 77029\" \/><\/div>\n<p> <\/p>\n<div class=\"field full\"><label>Description of Items to Be Purchased<\/label><textarea name=\"Exemption Item Description\"><\/textarea><\/div>\n<p> <\/p>\n<div class=\"field full\"><label>Reason for Exemption<\/label><textarea name=\"Exemption Reason\"><\/textarea><\/div>\n<p> <\/p>\n<div class=\"field full\"> <label>Exemption Certification Acknowledgment<\/label> <\/p>\n<div class=\"terms-box\"> This certificate does not require a number to be valid.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> I, the purchaser named above, claim an exemption from payment of sales and use taxes for the purchase of taxable items described below or on the attached order or invoice from the seller listed above.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> I understand that I will be liable for payment of all state and local sales or use taxes which may become due for failure to comply with the provisions of the Tax Code and\/or all applicable law.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> I understand that it is a criminal offense to give an exemption certificate to the seller for taxable items that I know, at the time of purchase, will be used in a manner other than that expressed in this certificate, and depending on the amount of tax evaded, the offense may range from a Class C misdemeanor to a felony of the second degree.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> <strong>Note:<\/strong> This certificate cannot be issued for the purchase, lease, or rental of a motor vehicle. This certificate does not require a number to be valid. Sales and Use Tax \u201cExemption Numbers\u201d or \u201cTax Exempt\u201d Numbers do not exist.<!\u2013- [et_pb_br_holder] -\u2013><!\u2013- [et_pb_br_holder] -\u2013> This certificate should be furnished to the supplier. Do not send the completed certificate to the Comptroller of Public Accounts. <\/div>\n<p> <\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Purchaser<\/label><input name=\"Exemption Purchaser Signature\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Title<\/label><input name=\"Exemption Purchaser Title\" type=\"text\" \/><\/div>\n<p> <\/p>\n<div class=\"field third\"><label>Date<\/label><input name=\"Exemption Date\" type=\"date\" \/><\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/p>\n<section class=\"card\"> <\/p>\n<div class=\"card-header\"> <\/p>\n<h2>10. Digital Signature<\/h2>\n<p> <small>Final authorization<\/small> <\/div>\n<p> <\/p>\n<div class=\"card-body grid\"> <\/p>\n<div class=\"field full\"> <label>Draw Signature<\/label> <\/p>\n<div class=\"signature-pad-wrap\"> <canvas id=\"signaturePad\" class=\"signature-pad\"><\/canvas> <\/p>\n<div class=\"signature-tools\"> <small>Use a mouse, trackpad, or finger to sign inside the white box.<\/small> <button type=\"button\" class=\"secondary\" onclick=\"clearSignature()\">Clear Signature<\/button> <\/div>\n<p> <\/div>\n<p> <input id=\"signature_status\" name=\"Digital Signature Status\" type=\"hidden\" value=\"Not signed\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"digital_signature_name\">Printed Name<\/label> <input id=\"digital_signature_name\" name=\"Digital Signature Printed Name\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"digital_signature_title\">Title<\/label> <input id=\"digital_signature_title\" name=\"Digital Signature Title\" type=\"text\" \/> <\/div>\n<p> <\/p>\n<div class=\"field third\"> <label for=\"digital_signature_date\">Date<\/label> <input id=\"digital_signature_date\" name=\"Digital Signature Date\" type=\"date\" \/> <\/div>\n<p> <\/p>\n<div class=\"field full\"> <label>Signature Agreement<\/label> <\/p>\n<div class=\"check-row\"> <label> <input type=\"checkbox\" name=\"Digital Signature Agreement\" value=\"Agreed\" \/> I certify that the information provided is true and authorize Stinger Chemical, LLC. to review and process this new account application. <\/label> <\/div>\n<p> <\/div>\n<p> <\/div>\n<p> <\/section>\n<p> <\/form>\n<p><\/main> <script> const form = document.getElementById(\"accountForm\"); const statusEl = document.getElementById(\"status\"); const signatureCanvas = document.getElementById(\"signaturePad\"); const signatureStatus = document.getElementById(\"signature_status\"); const signatureCtx = signatureCanvas.getContext(\"2d\"); let isSigning = false; let hasSignature = false; function resizeSignatureCanvas() { const data = signatureCanvas.toDataURL(); const rect = signatureCanvas.getBoundingClientRect(); const ratio = Math.max(window.devicePixelRatio || 1, 1); signatureCanvas.width = rect.width * ratio; signatureCanvas.height = rect.height * ratio; signatureCtx.setTransform(ratio, 0, 0, ratio, 0, 0); signatureCtx.lineWidth = 2.5; signatureCtx.lineCap = \"round\"; signatureCtx.lineJoin = \"round\"; signatureCtx.strokeStyle = \"#000000\"; if (hasSignature) { const img = new Image(); img.onload = () => signatureCtx.drawImage(img, 0, 0, rect.width, rect.height); img.src = data; } } function signaturePoint(event) { const rect = signatureCanvas.getBoundingClientRect(); const touch = event.touches && event.touches[0] ? event.touches[0] : event; return { x: touch.clientX - rect.left, y: touch.clientY - rect.top }; } function startSignature(event) { event.preventDefault(); isSigning = true; const point = signaturePoint(event); signatureCtx.beginPath(); signatureCtx.moveTo(point.x, point.y); } function drawSignature(event) { if (!isSigning) return; event.preventDefault(); const point = signaturePoint(event); signatureCtx.lineTo(point.x, point.y); signatureCtx.stroke(); hasSignature = true; signatureStatus.value = \"Signed\"; } function stopSignature() { if (!isSigning) return; isSigning = false; signatureCtx.closePath(); } function clearSignature() { const rect = signatureCanvas.getBoundingClientRect(); signatureCtx.clearRect(0, 0, rect.width, rect.height); hasSignature = false; signatureStatus.value = \"Not signed\"; showStatus(\"Signature cleared\"); } signatureCanvas.addEventListener(\"mousedown\", startSignature); signatureCanvas.addEventListener(\"mousemove\", drawSignature); window.addEventListener(\"mouseup\", stopSignature); signatureCanvas.addEventListener(\"touchstart\", startSignature, { passive: false }); signatureCanvas.addEventListener(\"touchmove\", drawSignature, { passive: false }); window.addEventListener(\"touchend\", stopSignature); window.addEventListener(\"resize\", resizeSignatureCanvas); window.addEventListener(\"load\", resizeSignatureCanvas); function showStatus(message) { statusEl.textContent = message; statusEl.classList.add(\"show\"); window.setTimeout(() => statusEl.classList.remove(\"show\"), 2200); } function getFormRows() { const rows = []; const usedRadioGroups = new Set(); const controls = Array.from(form.querySelectorAll(\"input, select, textarea\")); controls.forEach((el) => { if (!el.name) return; if (el.type === \"radio\") { if (usedRadioGroups.has(el.name)) return; usedRadioGroups.add(el.name); const checked = form.querySelector(`input[type=\"radio\"][name=\"${CSS.escape(el.name)}\"]:checked`); rows.push({ field: el.name, value: checked ? checked.value : \"\" }); return; } if (el.type === \"checkbox\") { rows.push({ field: el.name, value: el.checked ? \"Yes\" : \"No\" }); return; } rows.push({ field: el.name, value: el.value || \"\" }); }); if (hasSignature) { rows.push({ field: \"Digital Signature Image Data\", value: signatureCanvas.toDataURL(\"image\/png\") }); } else { rows.push({ field: \"Digital Signature Image Data\", value: \"\" }); } return rows; } function csvEscape(value) { const text = String(value ?? \"\"); return `\"${text.replace(\/\"\/g, '\"\"')}\"`; } function buildCSV() { const rows = getFormRows(); const header = [\"Field\", \"Value\"]; const body = rows.map(row => [row.field, row.value]); return [header, ...body].map(row => row.map(csvEscape).join(\",\")).join(\"\\n\"); } function downloadBlob(content, filename, mimeType) { const blob = new Blob([content], { type: mimeType }); const url = URL.createObjectURL(blob); const a = document.createElement(\"a\"); a.href = url; a.download = filename; document.body.appendChild(a); a.click(); a.remove(); URL.revokeObjectURL(url); } function fileDateStamp() { const now = new Date(); const yyyy = now.getFullYear(); const mm = String(now.getMonth() + 1).padStart(2, \"0\"); const dd = String(now.getDate()).padStart(2, \"0\"); return `${yyyy}-${mm}-${dd}`; } function exportCSV() { downloadBlob( buildCSV(), `stinger-new-account-application-${fileDateStamp()}.csv`, \"text\/csv;charset=utf-8;\" ); showStatus(\"CSV exported\"); } function exportExcel() { const rows = getFormRows(); const tableRows = rows.map(row => ` <\/p>\n<tr> <\/p>\n<td>${escapeHTML(row.field)}<\/td>\n<p> <\/p>\n<td>${escapeHTML(row.value)}<\/td>\n<p> <\/tr>\n<p> `).join(\"\"); const htmlTable = ` <html> <head> <meta charset=\"UTF-8\"> <\/p>\n<style> table { border-collapse: collapse; font-family: Arial, sans-serif; } th { background: #CC1111; color: #FFFFFF; } th, td { border: 1px solid #999999; padding: 8px; vertical-align: top; }  \/* White Divi version: white backgrounds, black lettering, form-only PDF *\/ :root { --black: #ffffff; --surface: #ffffff; --surface-2: #f3f3f3; --white: #000000; --muted: #000000; --line: rgba(0,0,0,0.22); --field: #ffffff; } html, body { background: #ffffff !important; color: #000000 !important; } body, body *:not(canvas), .hero p, .card-header small, label, .terms-box, .signature-tools small, .required-note, .notice, .brand span, .radio-row label, .check-row label, .repeat-title, .terms-box strong { color: #000000 !important; } .stinger-account-app .wrap, .stinger-account-app .hero, .stinger-account-app .card, .stinger-account-app .card-body, .stinger-account-app .card-header, .stinger-account-app .terms-box, .stinger-account-app .radio-row, .stinger-account-app .check-row, .stinger-account-app .signature-pad-wrap, .stinger-account-app input, .stinger-account-app select, .stinger-account-app textarea { background: #ffffff !important; color: #000000 !important; box-shadow: none !important; } .stinger-account-app .card, .stinger-account-app .hero, .stinger-account-app input, .stinger-account-app select, .stinger-account-app textarea, .stinger-account-app .radio-row, .stinger-account-app .check-row, .stinger-account-app .terms-box, .stinger-account-app .signature-pad-wrap { border-color: rgba(0,0,0,0.22) !important; } .stinger-account-app .card-header { background: #f3f3f3 !important; border-bottom-color: rgba(0,0,0,0.22) !important; } .stinger-account-app .hero h1 span { color: #CC1111 !important; } .stinger-account-app .notice { background: #ffffff !important; border-color: rgba(0,0,0,0.22) !important; } .stinger-account-app .actions { background: #ffffff !important; border-bottom: 1px solid rgba(0,0,0,0.22) !important; backdrop-filter: none !important; } .stinger-account-app button { color: #ffffff !important; } .stinger-account-app button.secondary { background: #f3f3f3 !important; color: #000000 !important; border-color: rgba(0,0,0,0.22) !important; } .stinger-account-app .success { background: #ffffff !important; border-color: rgba(0,0,0,0.22) !important; color: #000000 !important; } .stinger-account-app .topbar, .stinger-account-app .footer { display: none !important; } @media print { html, body { background: #ffffff !important; color: #000000 !important; } .topbar, .actions, .notice, .footer { display: none !important; } body, body *:not(canvas), .hero p, .card-header small, label, .terms-box, .signature-tools small, .required-note, .radio-row label, .check-row label, .repeat-title, .terms-box strong { color: #000000 !important; } .wrap, .hero, .card, .card-body, .card-header, .terms-box, .radio-row, .check-row, .signature-pad-wrap, input, select, textarea { background: #ffffff !important; color: #000000 !important; box-shadow: none !important; } .stinger-account-app .card-header { background: #f3f3f3 !important; } } <\/style>\n<p> <\/head> <body> <\/p>\n<table> <\/p>\n<thead> <\/p>\n<tr>\n<th>Field<\/th>\n<th>Value<\/th>\n<\/tr>\n<p> <\/thead>\n<p> <\/p>\n<tbody>${tableRows}<\/tbody>\n<p> <\/table>\n<p> <\/body> <\/html> `; downloadBlob( htmlTable, `stinger-new-account-application-${fileDateStamp()}.xls`, \"application\/vnd.ms-excel;charset=utf-8;\" ); showStatus(\"Excel exported\"); } function escapeHTML(value) { return String(value ?? \"\") .replace(\/&\/g, \"&\") .replace(\/<\/g, \"<\") .replace(\/>\/g, \">\") .replace(\/\"\/g, \""\") .replace(\/'\/g, \"'\"); } function syncCloneValues(sourceRoot, cloneRoot) { const sourceControls = Array.from(sourceRoot.querySelectorAll(\"input, select, textarea\")); const cloneControls = Array.from(cloneRoot.querySelectorAll(\"input, select, textarea\")); sourceControls.forEach((source, index) => { const clone = cloneControls[index]; if (!clone) return; if (source.type === \"checkbox\" || source.type === \"radio\") { clone.checked = source.checked; if (source.checked) clone.setAttribute(\"checked\", \"checked\"); else clone.removeAttribute(\"checked\"); } else if (source.tagName === \"SELECT\") { clone.value = source.value; Array.from(clone.options).forEach(option => { if (option.value === source.value) option.setAttribute(\"selected\", \"selected\"); else option.removeAttribute(\"selected\"); }); } else if (source.tagName === \"TEXTAREA\") { clone.value = source.value; clone.textContent = source.value; } else { clone.value = source.value; clone.setAttribute(\"value\", source.value); } }); } function exportPDF() { showStatus(\"Preparing compact PDF view\"); const printWindow = window.open(\"\", \"_blank\"); if (!printWindow) { alert(\"Please allow pop-ups to export the clean PDF view.\"); return; } const formClone = form.cloneNode(true); syncCloneValues(form, formClone); const signatureCloneCanvas = formClone.querySelector(\"#signaturePad\"); if (signatureCloneCanvas && hasSignature) { const signatureImage = document.createElement(\"img\"); signatureImage.src = signatureCanvas.toDataURL(\"image\/png\"); signatureImage.alt = \"Digital signature\"; signatureImage.className = \"printed-signature\"; signatureCloneCanvas.replaceWith(signatureImage); } else if (signatureCloneCanvas) { const signatureBox = document.createElement(\"div\"); signatureBox.className = \"printed-signature blank\"; signatureBox.textContent = \"Signature not provided\"; signatureCloneCanvas.replaceWith(signatureBox); } formClone.querySelectorAll(\".signature-tools, button\").forEach(el => el.remove()); const heroClone = document.querySelector(\".stinger-account-app .hero\").cloneNode(true); \/\/ Keep title, contact line, and logo on printed PDF. const cards = Array.from(formClone.querySelectorAll(\".card\")); const printDoc = document.createElement(\"main\"); printDoc.className = \"print-document\"; printDoc.appendChild(heroClone.cloneNode(true)); cards.forEach(card => printDoc.appendChild(card.cloneNode(true))); const printPages = printDoc.outerHTML; const printStyles = ` @page { size: letter landscape; margin: 0.22in; } * { box-sizing: border-box; } html, body { margin: 0; padding: 0; background: #fff; color: #000; font-family: Arial, Helvetica, sans-serif; } body { font-size: 12px; line-height: 1.12; -webkit-print-color-adjust: exact; print-color-adjust: exact; } .print-document { width: 100%; } .hero { background: #fff; border: 1.2px solid #444; padding: 8px 12px; margin: 0 0 6px; display: flex; align-items: center; justify-content: space-between; gap: 14px; break-inside: avoid; page-break-inside: avoid; } .hero-title-logo { display: flex; align-items: center; justify-content: space-between; width: 100%; gap: 14px; } .hero-copy { flex: 1 1 auto; min-width: 0; } .hero h1 { margin: 0; font-size: 28px; line-height: 1; text-transform: uppercase; letter-spacing: .02em; color: #000; } .hero h1 span { color: #CC1111; } .source-contact, .hero p { margin: 3px 0 0; font-size: 12px; line-height: 1.1; color: #000; } .hero-logo { max-width: 120px; max-height: 44px; object-fit: contain; display: block; } .card { break-inside: avoid; page-break-inside: avoid; border: 1.15px solid #444; border-radius: 0; overflow: visible; margin: 0 0 6px; background: #fff; color: #000; } .card-header { background: #efefef; border-bottom: 1.15px solid #444; padding: 5px 7px; display: flex; justify-content: space-between; gap: 8px; align-items: center; } .card-header h2 { margin: 0; font-size: 15px; line-height: 1.05; text-transform: uppercase; color: #000; letter-spacing: .01em; } .card-header small { font-size: 12px; color: #000; white-space: nowrap; } .card-body { padding: 6px 7px; } .grid { display: grid; 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