PROFILE DESIGN LLC
2677 El Presidio Street, Long Beach, CA, 90810. Tel 310.885.4300 Fax 310.885.4306
CREDIT APPLICATION / INFORMATION
Date:______Doing business since:______
Corporate Name:______Under the current Ownership______
D.B.A.______Bank Name:______
Store Name:______Bank Account No:______
Billing Address:______Bank Telephone:______
City______, State:_____, Zip______Bank Fax No:______
Delivery Address:______Bank Contact Person:______
City______. State______, Zip______Fed. ID #______
Phone: ( )______Tax Location (eg State, County, City)______
Fax: ( )______Tax Exempt: Yes______; No______
Acct Payable Contact:______Resale Certificate #______
Acct Payable Phone # ( )______( Please attach copy of certificate)
Dun & Bradstreet #______Dun & Bradtsreet Rating ______S.I.C. Code_____
Business Form:- Corp; Partnership; Proprietorship.
PLEASE CIRCLE Amount of Credit Desired:______
TRADE REFERENCES
Business Name:______Business Name:______
Address:______Address:______
City, State, Zip:______City, State, Zip:______
Phone #:______Phone #:______
Fax #______Fax #______
Account #:______Account #:______
Business Name:______Business Name:______
Address:______Address:______
City, State, Zip:______City, State, Zip:______
Phone #:______Phone #:______
Fax #______Fax #______
Account #:______Account #:______
Our Terms are Net 30 days from Invoice days for qualified customers unless otherwise specified. All Accounts not paid within terms will be subject to a finance charge of 1 ½% per month on the unpaid balance, or maximum allowed by law. We shall add collection fees, court costs, and / or attorney’s fees to the unpaid balance if the account has to be referred to an agency or attorney for collection. A fee of $25.00 will be charged for any checks returned unpaid by the bank.
In an individual owner or partnership, please fill out below If a corporation, please fill out below
1. Owner______`1. President______
S S #______S S #______
2 Owner______2.Vice President______
S S #______S S #______
The undersigned hereby make this application for credit to Gallop Cycle (creditor), and in making this application the undersigned agrees that all amounts will paid on or before the due date as stipulated by the credit terms, and if not paid before or on said date, are then delinquent. Should a credit availability be granted by the Creditor, all decisions with respect to the extension or continuation of credit shall be in the sole discretion of the Creditor. Creditor may terminate any credit availability at any time within its sole discretion.
I/We hereby authorize Gallop Cycle to investigate the references listed pertaining to our credit and financial responsibility.
Owner’s Signature:______Officer’s Signature______
Owner’s Home Address:______Title:______
City, State, Zip:______Home Phone:______
PROFILE DESIGN LLC
2677 El Presidio Street, Long Beach, Ca, 90810. Tel: 888.800.5999 ; Fax 310.747.0085
GUARANTEE
The undersigned, in consideration of the extension of credit made by Gallop Cycle. to______
______(hereinafter “Debtor” and as an inducement for Gallop Cycle to make future extensions of credit to Debtor, hereby absolutely and unconditionally guarantee to Gallop Cycle the punctual payment in full of all sums due, including any interest thereon, and sums to become due from Debtor to Gallop Cycle, at any time from the date hereof, until the termination of the liability of the undersigned as hereinafter provided, including, but not limited to, any and all costs, expenses an d reasonable attorney’s fees paid or incurred by Gallop Cycle in enforcing this Guarantee, Debtor acknowledges that all actions to enforce this guarantee shall be brought in a venue in Los Angeles County, State of California.
This guarantee shall operate as a continuing Guarantee and shall expire as to the undersigned only upon written notice signed by the undersigned and actually received by Gallop Cycle, but such termination shall be effective only as to indebtedness of Debtor incurred subsequent to the receipt of such notice.
The undersigned expressly waives the following: i) notice of extension credit, ii) presentment and demand for payment protests, notice of protest and iii) any right to require suit against Debtor before enforcing this Guarantee.
Dated;______
In the presence of: a)______
Guarantor Signature (no title)
______
Witness Signature Print Name
SS #______
Home Address:______
______
Witness Signature
b)______
Guarantor Signature (no title)
______
Print Name
SS #______
Home Address:______
______