Has
this business ever applied to Essay Audio for credit?
Yes
No
Name
of Partners, Officers, Stockholders
or Members
Title
Percentage
Owned
Tel#
Credit
References (List Trade Accounts)
Name
of Company
Address
Acct#
Tel#
Fax#
Bank
Reference
Name
of Bank:
Date
Account Opened:
Branch:
Address:
Account
No.:
Tel#:
In order to induce Essay Audio/Big
Productions to extend credit to the above corporation/partnership/individual/LLC,
the undersigned personally guarantees payment of the account and of each and
every invoice rendered to the applicant by Essay Audio. This guarantee is
and shall be in full force and effect until it is canceled in writing and
forwarded to Essay Audio by registered mail, return receipt suggested. Said
cancellation to be effective commencing twenty four hours after receipt of
notice thereof by Essay Audio and may affect Essay Audio's decision to extend
or continue to extend any credit to the above corporation/partnership/individual/LLC
after receipt of notice. In the event that an outstanding indebtedness is
not paid on a timely basis and Essay Audio places your account for collection,
the corporation/partnership/individual/LLC agrees to pay 25% as a reasonable
attorney and/or collection fees.
By
Principal:
Date:
By
Spouse:
Date:
By
Principal:
Date:
By
Spouse:
Date:
Principals
Type
Full Name:
Legal
(if different):
Yearly
Income From Applicant Firm $:
Home
Address:
City,
State, Zip:
Home
Tel#:
Social
Security No.:
Own
Rent This Dwelling
Previous
Home Address(If less than five years at present address)
If
payment by credit card:
AMEX
VISA
MASTER CARD
Credit
Card #:
Expiration
Date:
Card
Holder's Name:
(as shown on card)
Credit
Card Authorization:
TERMS
The undersigned applicant agrees as follows: That
the terms of sale are acknowledged as net 15 days E.O.M.(End Of Month), and
that the account is subject to a late charge of 1% per month on all balances
more than 30 days past due. Furthermore, I understand that Essay Audio/ Big
Productions without prior notice may cease to process my orders or extend any
credit if my account is past due. The
undersigned represents warrants and affirms that the statements made in this
application are true and correct and have been made to induce you to extend
credit to the undersigned with knowledge that you will rely thereon. For the
same purpose, the undersigned affirms, represents, and warrants that the undersigned
is not obligated to any bank, loan company, corporation or individual, except
as shown in our financial statement, and that no suits, judgments or legal claims
of any kind whatsoever are now pending against undersigned.
ALL INFORMATION PROVIDED IS CONFIDENTIAL.
(please
fill out completely, print & then fax to 651.633.2077)
If
yes when:
Date:
Will
Be Taken At Time of Order
College Owner
Government Owned
MINIMUM
OPENING ORDER - $250 RETAIL. SUBSEQUENT ORDERS $100.
Type:
Retail Bookstore
College Bookstore
Web or Mail Order
Specialty
Other