Credit Application

Please provide contact information for the person completing this form.

Proprietorships: List the owner's information. Partnerships: List all partners' information. LLCs and Corporations: List officers' information.

Please provide at least 3 trade references if possible. You may provide additional references by using the "plus" button.

In the event credit is extended and this application is accepted by seller, applicant agrees as follows: 1. Applicant agrees to make payments of all invoices per the terms of Net 10th Prox, unless otherwise stated on the face of the invoice, to the seller’s address and on any balances outstanding from time to time; and in the event of a default of timely payment by the applicant, to pay the outstanding principal balance plus accrued interest and expenses on demand as follows: A. To pay interest on any unpaid balance not paid within the time provided by the invoice at the rate of 1.5 percent per month or maximum rate permitted by law. B. In the event of default in the acceptance of goods or services ordered, or in the payment for goods or services received, to pay all costs and expenses, including reasonable attorney’s fees, incurred in remedying the default or the enforcement of any rights possessed by the seller and that any actions for collections may be brought in the court of the seller.

In consideration of the seller extending credit to the above-named applicant, (hereinafter referred to as the “company”), we the undersigned, absolutely and unconditionally personally guarantee the full and punctual payment of any obligation of the company and we hereby bind ourselves to pay you on demand any sum, including all costs of collection and reasonable attorney’s fees, which my become due to you by the company whenever the company shall fail to pay the same. It is understood that this guaranty shall be a continuing and irrevocable guaranty and indemnity for such indebtedness of the company. We do hereby waive notice of demand, protest or default, and consent to any modification or renewal of the credit agreement hereby guaranteed. This guaranty shall be binding on guarantor’s heirs, personal representatives, successors and assigns, and shall inure to the benefit of the seller, its successors and assigns. Each guarantor also hereby waives any claim, right or remedy which such guarantor may now have or hereafter acquired against the debtor or any security with creditor now has or hereafter acquired, whether or not such claim, right or remedy arises in equity, under contract, by statue, under common law or otherwise. The undersigned personal guarantor, recognizing that his or her individual credit history may be a necessary factor in the evaluation of this personal guarantee, hereby consents to and authorizes the use of a consumer credit report on the undersigned, by the above named business credit grantor, from time to time as may be needed, in the credit evaluation process.