Credit Account Application

CREDIT ACCOUNT APPLICATION
We are pleased to extend you an offer for an open credit account. Kindly read the terms of sale on credit and provide us with the following information:

When and if credit is granted by C & S HARDWARE, INC., to the applicant it is understood and agreed by the undersigned that the terms of sale are NET 30 days: 1½% per month will be charged on all amounts past due, our terms. Any dispute, disagreement, conflict of interpretation or claims between the parties hereto which exceeds the aggregate sum of $3,000.00 shall be determined by arbitration.

When and if this account is placed in the hands of an attorney or collection agency for collection of any amounts unpaid and owing, the applicant and buyer agrees to pay attorney’s fees or collection agency fees for collection in addition to the amount of the unpaid balance due and owing including service and interest charges. Any merchandise furnished remains property of C & S HARDWARE, INC. until paid for in full. We charge 10% for handling of goods returned. All claims and returned goods must be accompanied by its original invoice. The undersigned applicant for credit agrees that the enclosed information is submitted for the purpose of obtaining credit from C&S HARDWARE, INC.
Name
First Last
S. S. # / FED. ID # / EX #
Address
Street Address Address Line 2 City State ZIP Code
Main Phone
Fax
Email
Managing Agents Name
First Last
Phone
Email
Address
Street Address Address Line 2 City State ZIP Code
Superintendant's Name
First Last
Phone
Address
Street Address Address Line 2 City State ZIP Code
Trade References
Bank Information
Bank Name
Account Number
Contact Person
Address
Street Address Address Line 2 City State ZIP Code
Oil Company's Information
Company Name
Phone
Contact Person
Elevator Maintenance
Company Name
Phone
Contact Person
Present Building Supplier
Company Name
Phone
Contact Person
Other Trade References
Authorized Representitives
PLEASE LIST IN THE SPACE PROVIDED BELOW ANY NAMES, LOCATIONS & RESPONSIBLE PARTIES THAT ARE ALLOWED TO PURCHASE AS A PART OF OR UNDER YOUR COMPANY NAME. IF NECESSARY, PLEASE ATTACH ADDITIONAL LISTINGS ON BACK.
IN CONSIDERATION OF THE SALE & DELIVERY OF GOODS AND THE EXTENSION OF CREDIT BY C & S HARDWARE, INC. TO THE ABOVE CUSTOMER & THE UNDERSIGNED DOES HEREBY UNCONDITIONALLY AND PERSONALLY GUARANTEE PAYMENT OF ANY & ALL BILLS RENDERED.

CREDIT ACCOUNT APPLICATION

Trade References

Bank Information

Oil Company's Information

Elevator Maintenance

Present Building Supplier

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