PRO-TECT PLASTICS and SUPPLY, INC.
(541) 774-5506 or Fax (541) 774-5508 or E-Mail  info@pro-tect.net


CREDIT APPLICATION


Full Name of Company______________________________________________________________


Billing Address______________________________City/St/Z________________________________


Shipping Address____________________________City/St/Z _______________________________


Nature of Business_____________________Phone_________________Fax___________________


E-Mail: ________________________________  Website: __________________________________


Principal Owner_________________________________SS. #______________________________


Business License______________________________ Fed ID #_____________________________


BANK REFERENCES


Name of Bank___________________________ Name of Contact____________________________


Address___________________________________ City/St/Z _______________________________


Phone________________Fax_______________Account Numbers___________________________




Signature to release Bank Credit Information to Pro-Tect Plastic. _____________________________




TRADE REFERENCES
List references who extended open credit in amounts equal to or greater than amount of current order or total exposure you estimate for this new or potential account.


1.     Name______________________________ Name of Contact ___________________________


       Address_________________________________ City/St/Z ______________________________


       Phone___________________ Fax________________ Acct # (if any) _____________________


2.     Name______________________________ Name of Contact ___________________________


       Address_________________________________ City/St/Z ______________________________


       Phone___________________ Fax________________ Acct # (if any)______________________


3.     Name______________________________Name of Contact ____________________________


       Address_________________________________City/St/Z ______________________________


       Phone___________________ Fax________________ Acct # (if any) _____________________


4.     Name______________________________Name of Contact ____________________________


       Address_________________________________City/St/Z ______________________________


       Phone___________________ Fax________________ Acct # (if any) _____________________


ADDITIONAL INFORMATION - Attach any information you have that might be helpful to us in establishing credit.
General Provisions


The terms and conditions of this application shall, upon extension of credit by the company, constitute an agreement of sale. Should credit availability be granted by Pro-Tect Plastic and Supply, Inc., all credit shall be extended at the sole discretion of Pro-Tect Plastic and Supply, Inc. We understand that Pro-Tect Plastic and Supply, Inc. may increase, decrease or terminate any credit availability at any time within its sole discretion.


1. I agree to provide Pro-Tect Plastic and Supply, Inc. with an updated credit application each year as a condition for the continued extension of credit.
2. I agree to make payment to Pro-Tect Plastic and Supply, Inc. according to the payment terms that appear on each invoice. The failure to pay on the net due date on each invoice shall deem the debt to be delinquent.
3. I understand that interest accrues against my past due account at a rate of 1.5% per month (18% per annum) or the highest legal rate permitted by state law.
4. In the event that the account is turned over to an attorney or other agency for collection or suit is brought against me, I agree to pay all reasonable attorney fees and court costs incurred by Pro-Tect Plastic and Supply, Inc. I hereto knowingly and intentionally waive the right to a jury trial on any issue or dispute that may arise between us and Pro-Tect Plastic and Supply, Inc.




______________________________ By ___________________________________
Business Name          Applicants Signature and Title




Authorization to Release Information


We do hereby authorize Pro-Tect Plastic and Supply, Inc. to contact the bank and trade references (including those listed herein) and any credit reporting agencies to obtain, verify credit information.




______________________________ By __________________________________________
Business Name          Applicants Signature and Title




Guaranty Agreement


In consideration of the extension of credit by Pro-Tect Plastic and Supply, Inc., the undersigned does hereby unconditionally guaranty payment of whatever amount the applicant company named on the reverse side shall at any time be owing to on account of goods and materials hereafter delivered, furnished or supplied, whether said indebtedness is in the form of notes, bills or open account. This shall be an open and continuing guaranty and shall continue in force notwithstanding any change in the form of the indebtedness or extensions granted by Pro-Tect Plastic and Supply, Inc. and shall remain in force until expressly revoked by written notice from Pro-Tect Plastic and Supply, Inc. to you. The undersigned Guarantor further agrees to pay all expenses, including court costs, attorney fees paid or incurred by Pro-Tect Plastic and Supply, Inc. in collection of all amounts owed to them.


This guaranty shall be continuing, absolute and unconditional guaranty and shall be enforceable by Pro-Tect Plastic and Supply, Inc.


The liability of the undersigned Guarantor(s) shall be joint and several. Payment from the Guarantor of monies due and owing as a result of this guaranty agreement shall be due upon demand by Pro-Tect Plastic and Supply, Inc.




_____________________________________________ _______________________
Name (Please Print)                          Date


_____________________________________________ ______________________________________
Signature (Personally and as an individual)                  Witness
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