Information about http://www.posguys.com/creditapp.pdf

Tags: address city state, application business, bank contact, bank references, business billing, business fax, business phone number, business type, city state zip, company address, contact name, dunn bradstreet, federal tax id, information business, number business, personal guaranty, physical address, profit corporation, sole proprietor, state zip code,
Pages: 2
Language: english
Created: Tue Jun 10 16:44:01 2008
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                                                                                                  Credit Terms Agreement
                                                                                                                             Tel. 1(800) 903-6571
                                                                                                                             Fax 1(360) 738-3530


 POSGuys.com GENERAL CREDIT TERMS APPLICATION


 Business Information
Business Name                                                                   DBA (Doing Business As)


Business Physical Address                                                       City              State                        Zip Code


Business Billing Address (If different)       Dept. Name/Attn:                  City              State                        Zip Code


Business Phone Number                         Business Fax Number                                 EIN Federal Tax ID #
(        )                                    (           )
Billing Contact Name                                Billing Contact Phone                         Parent Company Name
                                                    (           )
Parent Company Address                                                          City              State                        Zip Code


Year Business Established            Number of Employees                   Dunn & Bradstreet #                    Credit Amount Requested


Business Type (select one)
 Sole Proprietor   Partnership      Public School        LLC            Government Agency        Non-Profit      Corporation       Private School


Bank References           (If credit requested is greater than $20,000)
Bank Name                                                                                    Checking Account Number


Bank Contact Name                                                               City                          State



Personal Guaranty           (Required for all Sole Proprietorship, Partnerships, and all Corporations in business less than 3 years)
First Name                       Middle Initial     Last Name                                                         Date of Birth


Home Address                                            Unit Number             City                          State               Zip


Home Phone Number                                       Social Security Number                                Annual Income
(      )
Signature                                               Title                                                         Date




Trade References (List companies you buy from on account)
Business Name                               Contact Name                               Telephone Number                 Fax Number


Address                                                                                City, State, Zip Code, Country

                                                                    -- Continued on Page 2

                                 MGM Solutions, Inc. · 2125 Humboldt St. · Bellingham, WA 98225
                                   Email: sales@POSGuys.com · Web: www.POSGuys.com
                                                                                   Credit Terms Agreement
                                                                                                         Tel. 1(800) 903-6571
                                                                                                         Fax 1(360) 738-3530



 Trade References (Continued)
Business Name                            Contact Name                   Telephone Number              Fax Number


Address                                                                 City, State, Zip Code, Country



 Business Name                           Contact Name                   Telephone Number              Fax Number


 Address                                                                City, State, Zip Code, Country




                                      POSGuys.com CREDIT TERMS SIGNATURE PAGE

POSGuys.com is an affiliate of MGM Solutions, Inc.

I hereby authorize MGM Solutions, Inc. and its affiliates to collect credit information from the references listed above for the
purpose of establishing an account with credit terms.

I understand that the above credit information provided is for the sole purpose of obtaining credit with MGM Solutions, Inc.
Furthermore, I certify that the information given is correct and accurate as of the date of this application. I agree and
unconditionally guarantee to be held liable for any and all indebtedness accrued under this continuing agreement. All
accounts and monies due to MGM Solutions, Inc. shall be due and payable at your place of business. The terms granted
are Net 25 unless agreed upon in writing.

In the event of default and referral to a Third Party Collection Agency or Attorney, I agree to pay all costs and fees of such
services. Furthermore, I have read and agree to the MGM Solutions, Inc. conditions of sale. I further understand that failure
to pay invoices within terms may result in all shipments requiring Cash In Advance, or a denial of future business.


_____________________________________________________
Signature

_____________________________________________________
Title

_____________________________________________________
Company

_____________________________________________________
Date

Fax completed Application to (360) 738-3530
Questions? Please contact our sales team at 1-800-903-6571



                              MGM Solutions, Inc. · 2125 Humboldt St. · Bellingham, WA 98225
                                Email: sales@POSGuys.com · Web: www.POSGuys.com