Business Contact Information

Example: 432-563-3332

Example: 432-563-3340

Owners / Officers
Business and Credit Information

Example: 432-563-3332

Exampe: 432-563-3340

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*If so attach tax exemption certificate

Bank Information
Business / Trade References

Must have a minimum of three (3) references in order to process your credit application.

Business / Trade Reference #1
Business / Trade Reference #2
Business / Trade Reference #3
Information Required by your company on delivery tickets to ensure prompt payment:
Products

Check all the products that are you interested in either purchasing or renting

Invoicing
Agreement
  1. All payments are due 30 days from the receipt of the invoice.
  2. Interest charge of 18% per annum or 1.5% per month will be applied back to the past due date should your account be referred to collections and/or if other legal action is required to collect your past due account. This will be in addition to any collection and legal fees.
  3. Claims arising from invoices must be made within 30 business days.
  4. By submitting this application, you authorize Milford to make inquiries into the banking and business/trade references that you have supplied.
  5. Annual CPA generated Financial Statements MAY be required if the credit limit requested is higher than credit reference’s balance history. A personal guarantee MAY be required if your business was established less than two years ago, regardless of type of ownership.
  6. NOTE:If you wish us to consider modifications to the above terms you must contact the Credit Manager prior to submitting the application. Modifications to this agreement are not permitted and will void this credit application. Requesting modifications is no guarantee they will be changed.
  7. Only an owner, officer, or a non-officer with written signatory authority signed by an owner or officer can sign. Proper certification must be presented at time of submission.
  8. The individual/s signing this page hereby represent/s and warrant/s that s/he is duly authorized to execute and deliver this Agreement on behalf of (Legal Company Name) and that this Agreement is binding upon said company in accordance with its terms.

If you have read the above statement, please check yes if you agree the agreement above.

E - Signatures

By typing my name in the following box I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing this credit application and its information.

The Individual that is signing this credit application MUST be an owner/officer of the company in order to complete this application.

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