If Corporation, list officers and titles only. If Partnership or Proprietorship, fill in the following information completely.
List all banks used for last 3 years.
The undersigned certifies that the above information given for credit purposes is true and correct and authorizes the firm or persons to whom this application is made and any credit bureau or other investigative agency to investigate the references, statements or other data listed or accompanying this application. The undersigned, authorizes all parties contacted to release credit and financial information requested as a part of said investigation. Invoice terms is NET 30. The undersigned also agrees to pay late charges of 1 1/2 % per month on all past due invoices. If this account is placed in the hands of an attorney for collection, I/We promise and agree to pay holder’s reasonable attorney fees and collection costs, even though no suit or action is filed hereon; if a suit or an action is filed, the amount of such reasonable attorney’s fees shall be fixed by the court or courts in which the suit or action, including any appeal therein, is tried, heard or decided.
Owner or Company Officer:
The undersigned agrees to personally and unconditionally guarantee the above account, including interest, collection costs and attorney fees.