Credit App


APPLICATION FOR CREDIT AND AGREEMENT TO CREDIT TERMS













TRADE REFERENCES --- PLEASE COMPLETE IN FULL











In consideration of MULTIPLE CONCRETE ACCESSORIES CORP. extension of credit, I, the customer, agree to the following terms:

The customer agrees to pay the amount of any outstanding balance within 30 days. Customer agrees to pay a service charge on all outstanding balances unpaid at the end of the following month. The service charge will be 1 1/2% per month (18% per annum). Such service charge shall become a part of customer's outstanding balance.

In the event that MULTIPLE CONCRETE ACCESSORIES must take legal action to collect on this account, customer agrees to pay all reasonable attorney's fees, court costs, sheriff's fees and bond cost incurred by MULTIPLE CONCRETE ACCESSORIES.

I certify that all information on this form is correct, and that I fully understand your credit terms. In addition, I personnaly guarantee payment in full on this account.

In case of corporate accounts, the undersigned personally guarantees payment of the indebtedness.












For office use only:









To Whom it may Concern:
I,     of   authorized     to release information concerning my account numbers     to MULTIPLE CONCRETE ACCESSORIES CORPORATION.
Sincerly,


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