Would you like to apply for credit? If you decide to apply for credit, selecting 'Yes' will reveal additional form elements that must be filled out below.
FOXPRO Inc. Credit Agreement
Has your firm or any of its principals ever been bankrupt?
Please select
Yes
No
Please explain:
Any misrepresentation in this Agreement will be considered evidence of fraud, since this information is the basis for the extending of credit. As an inducement to grant credit, the undersigned warrants that the information submitted is true and correct. You are authorized to investigate the credit references and Principals listed.
In consideration for the extension of credit, said business promises to pay for all purchases within the terms agreed (Net 30 Days) and agrees to pay a service charge per month of 1.5% per month (18% annual percentage rate) on all past due balances. Said business authorizes FOXPRO Inc. to automatically bill provided credit card number below in the event that the account becomes delinquent for a period of 30 days. In the event any third parties are employed to collect any outstanding monies owed by said business the undersigned agrees to pay reasonable collection costs, including attorney fees. Whether or not litigation has commenced, and all costs of litigation incurred. The undersigned represents that he/she has the authority to execute this credit agreement on behalf of the business identified.
Name of business: (copied from prior application data)
Credit Card Number / Expiration:
DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.
Type your name and title:
PERSONAL GUARANTEE
In consideration for FOXPRO Inc. extending credit to the business identified below for any materials and/or services after this date at the request of applicants or its agents, the undersigned individual hereby personally guarantees unconditionally and irrevocably the prompt payment of any sums now or hereafter owed to FOXPRO Inc. by the business identified below whether said sums are due under open account, contract or otherwise.
It is understood and agreed that credit, if extended, is to be on a continuing basis and may exceed estimated maximum credit limit required as stated in the credit agreement between FOXPRO Inc. and the business. FOXPRO Inc. shall not be obligated to notify the undersigned of the dates or amounts of any such credit and the undersigned waives demand, notice of default and any extension of time or any other forbearance which may be extended by FOXPRO Inc.
This guaranty shall continue in force until notice in writing, sent by registered or certified mail, return receipt requested is received by FOXPRO Inc. Said notice shall specify the date on which this guaranty is to be terminated, said date not be less than seven days after such notice is received. Such termination shall in no way release the undersigned as to any sum or debt incurred prior to such termination.
Name of person guaranteeing payment:
Address of person guaranteeing payment:
Phone number of person guaranteeing payment:
DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.
Type the name of person gauarnteeting payment:
Name of business whose account is guaranteed:
D/B/A:
Federal Tax ID:
Type of Business:
Date Established:
How Long in Business:
Mortgage Holder/Landlord:
Mortgage Holder/Landlord Address:
Store Phone Number:
Does State, County, or City Require a License?
Please select
Yes
No
State License Number:
County License Number:
City License Number:
Ownership
Please select
Sole Proprietorship
Partnership
Corporation
Principal Name/Title:
Principal Name/Title:
Principal Name/Title:
TRADE REFERENCES
Trade Reference 1:
Trade Reference 2:
Trade Reference 3:
BANK REFERENCE
Bank Contact Information:
Bank Account Number:
Number of Employees:
Estimated Annual Sales:
CREDIT RELEASE AUTHORIZATION
For the purpose of obtaining merchandise on credit, I authorize located at to release credit information for account number to FOXPRO Inc. 14 Fox Hollow Drive, Lewistown, PA 17044.
As an inducement to grant credit, the undersigned agrees to the need for verification of all information on this agreement and authorizes and releases all banks, businesses and persons identified on this agreement to furnish any and all information requested by FOXPRO Inc. or its representative, by telephone or written correspondence.
The undersigned warrants that the information is true and correct.
As an inducement to grant credit, the undersigned agrees to FOXPRO Inc. the right to obtain the credit history of the undersigned and authorizes the release of such information by signature here.
DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.
Type name below: