(Trade References) Name: Address: Name: Address: Name: Address: Name: Address: (Bank References) Checking: Savings: #1 Name: Address: Account #: Contact: #2 Name: Address: Account #: Contact: #3 Name: Address: Account #: Contact: Has the firm or any of it's Principals ever been bankrupt? Yes: No: If yes please give a detailed description why. What time of month do you pay your invoices? 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st Day of each month. Person to contact about account: Title: Terms Please read carefully before aggreeing. Applicant agrees to pay any collection costs incurred to collect the amount balance, including reasonable attourney's fees. I hereby authorize you to establish an open account and agree that all invoices will be paid as per the terms established. Past due invoices will be subject to and additional charge of 1.5% on the past due balance. ______________________________________________________________________________________ Personal guarantee: In consideration of credit being extended by D&D Wholesale Distributors, inc. to the above named applicant for merchandise to be purchased whether applicant be an individual or individuals, a proprietorship, a partnership, a corporation, or other entity, the undersigned guarantor or guarantors each hereby contract and guarantee D&D Wholesale Distributors, Inc. the faithful payment, when due of all accounts of said applicant for purchases made within five years next after the date of this application. the undersigned guarantor or guarantors each hereby expressly waive all notice of acceptance of this guarantee, notice of extension of credit to applicant, presentment, and demand for payment on applicant, protest and notice to undersigned guarantor or guarantors of dishonor or default by applicant or with respect to security held by D&D Wholesale Distributors, Inc. extension of time of payment to applicant, acceptance of partial payment or partial compromise, all other notices to which the undersigned guarantor or guarantors might otherwisebe entitled and demand for payment under this guarantee. Any revocation of this guarantee shall be in writing and delivered to D&D Wholesale Distributors, Inc. 777 Baldwin Park Blvd. City of Industry, Ca 91741
Name: Title: Name: Title: By filling in the above boxes the said guarantor or guarantors are bound by this agreement. By filling in the two boxes below you are agreeing to the terms listed in the afformentioned statement. this document will be kept on file as proof of signature. Name: Date: