References: (Indicate firms from you are currently purchasing an open account)
CORPORATION OFFICERS HEREWITH ACKNOWLEDGE AND ASSUME PERSONAL RESPONSBILTY FOR DEBTS INCURRED IN THE NAME OF THE FIRM.
I HAVE READ, UNDERSTAND AND ACCEPT THE ABOVE TERMS AND HAVE PROVIDED TRUE INFORMATION TO THE BEST OF MY KNOWLEDGE AND HAVE RETAINED A COPY OF THIS AGREEMENT FOR MY RECORDS. I FURTHER AUTHORIZE THE ABOVE CITED REFRENCES TO SUPPLY PERTINENT INFORMATION AS MAY BE REQUIRED TO DETERMINE OUR CREDIT CAPABILTIES.
If you desire to pay by credit card, please provide the following information:
Terms: Applicant is hereby advice that our regularly stated terms are Not So. Past due accounts will be assessed a charge of 1.696% per month or at a rate not to exceed lawful limits. All claims for errors or unsatisfactory stock must be reported upon receipt and confirmed by written memorandum within 10 days. In the event it becomes necessary for our firm to file suit to enforce payment, we shall be entitled to court costs, attorney’s fees and interest at the rate of 1.5% per month on all amounts due and payable.