Read before signing. I/we hereby agree to the terms, net 30 days unless otherwise stated. In the event of collection, customer pays all costs and
attorney fees. Any balance over 30 days is subject to a service charge of 1-1/2% per month (18% per annum).
APPLICATION FOR CREDIT
CORPORATION ONLY - Continuing Guarantee
In Consideration for the extension of credit for goods extended by the seller mentioned I/we:
We the undersigned, do hereby jointly severally and personally guarantee the prompt payment of any and all indebtedness of the applicant to the seller
according to the terms thereof.
In case suit or action is instituted to collect any portion of an account owed by any parties to this agreement, I/we promise to pay such additional sums as
the court may adjudge reasonable, including attorney's and collection fees.
For the purpose of establishing credit with your company, the undersigned, guarantees the financial information below to be
correct and complete to the best of my/our knowledge and authorize any credit investigation needed for verification of such.
NAME OF BUSINESS (DBA)
CORPORATION OR OTHER DATE BUSINESS STARTED
BILLING ADDRESS (IF DIFFERENT)
NAME OF ACCOUNTS PAYABLE CONTACT
BANK NAME AND BRANCH
BUSINESS CHECK ACCT.
Name and home address of individuals officers, partners, owners,
List three principal suppliers with whom you have maintained credit for a minimum of one year.