Credit Application

PRINCIPALS OR OFFICERS OF CORPORATION
Name of a Principal or Officer:*
First Last
TITLE:*
D.O.B.*
SOCIAL SECURITY NO.*
Residence Address:*
Street Address Address Line 2 City State ZIP Code
Phone:*
Name of a Principal or Officer:
First Last
TITLE:
D.O.B.
SOCIAL SECURITY NO.
Residence Address:
Street Address Address Line 2 City State ZIP Code
Phone:
PERSON TO CONTACT REGARDING PAYMENT:*
First Last
Phone:*
Fax:
ARE CASH SALES OKAY UNTIL CREDIT APPROVED?*
- Yes
- No
WE AGREE THAT IN THE EVENT OUR ACCOUNT REMAINS UNPAID BEYOND 30 DAYS PAST THE DUE DATE, AND IS PLACED WITH AN ATTORNEY OR COLLECTION AGENCY FOR COLLECTION, WE WILL PAY 1.5% SERVICE CHARGE PER MONTH ON UNPAID BALANCES WHICH ARE MORE THAN 30 DAYS PAST DUE AND/OR TURNED OVER FOR COLLECTION. WE CERTIFY THAT ALL THE INFORMATION ON THIS FORM IS CORRECT. WE FULLY UNDERSTAND YOUR CREDIT TERMS AND AGREE TO THE PROPER PAYMENT IN CONSIDERATION OF EXTENDED CREDIT.*
First Last
Signature:*
HEREBY applies for credit in accordance with the terms and conditions of Ring Bros. SIGNATURE REQUIRED TO PROCESS APPLICATION.
Date:*
MM slash DD slash YYYY
Title:*

PERSONAL GUARANTEE
THIS COMPANY IS A CORPORATION, PLEASE NOTE THE FOLLOWING:
Name:*
First Last
, in consideration for your extending credit at my request to
Company Name:*
, (hereinafter referred to as the "Company"), of which I am
Title:*
, hereby personally guarantee to you the payment of my obligation of the Company and I hereby agree to bind myself to pay you on demand any sum which may become due you by the Company whenever the Company fails the same. It is understood that this guarantee shall be continuing and irrevocable guaranty and indemnity for such indebtness of the Company. I do hereby waive notice of defalt, non- payment and notice thereof and consent to any modification or renewal of the credit hereby guaranteed.
Signature:*
Date:*
MM slash DD slash YYYY
BANK
Name:*
Address:*
Street Address Address Line 2 City State ZIP Code
Phone:*
Account Number:*
Account Officer:*

TRADE REFERENCES
THE FOLLOWING INFORMATION MUST BE PROVIDED. IT WILL BE HELD IN THE STRICTEST CONFIDENCE.
ALCOHOL VENDORS NOT ACCEPTED AS TRADE REFERENCES
Name of Trade Reference:*
Phone:*
Fax:
Address:*
Street Address Address Line 2 City State ZIP Code
Account Number:*
Contact Name:*
First Last
Name of Trade Reference:*
Phone:*
Fax:
Address:*
Street Address Address Line 2 City State ZIP Code
Account Number:*
Contact Name:*
First Last
Name of Trade Reference:*
Phone:*
Fax:
Address:*
Street Address Address Line 2 City State ZIP Code
Account Number:*
Contact Name:*
First Last
OUR NORMAL CREDIT TERMS ARE 7-14 DAYS IF YOU WISH TO REQUEST TERMS OTHER THAN OUR NORMAL 7-14 DAYS, PLEASE INDICATE YOUR REQUEST HERE