8411 FIRESTONE LANE NE · ALBUQUERQUE, NM 87113 · T: 505-797-1515 · F: 505-797-9191 ·

APPLICATION FOR CREDIT

Fields marked with an asterisk (*) are required. Please complete, sign/initial, and return all pages.

*Company Name: *Years in Business:

*dba (if different):

*Address:

*City:*State: *Zip:

*Phone:*Fax:

*President/Owner/CEO:

*Ownership: □ Corporation □ Partnership □ Sole Proprietorship □ Other

*Address:

*City:*State: *Zip:

*Phone:*Fax:

*A/P Contact:*A/P Email:

*A/P Phone: *A/P Fax:

*CREDIT REFERENCES: List only those accounts where you have had a high balance of at least $1,000.00. Do not list credit cards, utilities, insurance companies or vendors you deal with on a C.O.D. basis or prepaid basis. At least three credit references must be provided for consideration. Additional pages may be attached if necessary.

1.) Company Name:Contact Name:

Phone: Fax or email (required):Account #:

2.) Company Name:Contact Name:

Phone: Fax or email (required): Account #:

3.) Company Name:Contact Name:

Phone: Fax or email (required):Account #:

*BANK INFORMATION

Name of Bank:

Address: City: State: Zip Code:

Phone: Fax: Account#:

Guarantee of Payment: Invoices not paid within terms of invoice will be assessed at 1.75% per month finance charge, in accordance with the New Mexico usury laws. I/We understand and agree that the information provided is for the purpose of obtaining credit. I/We further understand and agree that all accounts or monies due to Foreign Accents, Inc. shall be paid in accordance with the credit terms stated above and agree to pay all reasonable costs of collection, in addition to, any court costs and/or attorney fees incurred. I/We authorize investigation of all credit references listed. I/We do hereby guarantee payment of any debt incurred by virtue of any and all credit extended in accordance with the above agreement and all of its terms and conditions.

*Signature:*Title:*Date:

*Signature:*Title:*Date:

*Print Name(s):

Note: Processing time is dependent upon trade reference response time.

8411 FIRESTONE LANE NE · ALBUQUERQUE, NM 87113 · T: 505-797-1515 · F: 505-797-9191 ·

APPLICATION FOR CREDIT

TERMS AND CONDITIONS

*Company Name:

*dba (if different):

Credit accounts held at Foreign Accents, Inc. (FA) are subject to the following terms and conditions:

  1. All invoices are due and payable within terms.
  2. If approved for terms, all accounts terms are Net 30 days unless otherwise specified in writing and agreed to by all parties.
  3. All credit accounts will be assigned a credit limit. Orders placed above and beyond this credit limit are subject to hold until such a time as payment has been made to bring the account sufficiently below its credit limit.
  4. Invoices that are unpaid 31 or more days after the invoice date are considered past due.
  5. All credit accounts with invoices that are past due will be placed on credit hold.
  6. Accounts with invoices 60 or more days past due are subject to revocation of terms. Orders placed on these accounts will require payment in full of all past due invoices and will require prepayment of the order via credit card, money order, or certified check.
  7. Credit accounts where no purchases have been made in the last 2 (two) years will be returned to prepay status. In order to reinstate credit terms, the customer will have to resubmit a credit application and is subject to refusal of credit.
  8. FA will do everything in its power to collect past due monies on delinquent accounts. However, in the event that these monies are unable to be collected, FA reserves the right to submit the delinquent accounts to a collections agency and/or attorney review for potential asset investigation.
  9. All past due invoices may be subject to a finance charge of 1.75% per month which is an annual percentage rate of 21%, plus reasonable attorney fees for collection of past due indebtedness, should they be turned over to an attorney or collections agency for collection or asset investigation.
  10. Unless otherwise specified or negotiated, FA reserves the right to refuse credit to domestic (U.S.A) businesses that have been in business less than 1 (one) year.
  11. FA will not extend credit to international accounts. All international accounts are required to purchase via prepayment of goods and freight through wire transfer and/or credit card, as requested.
  12. FA reserves the right to revoke terms on any account at any time.
  13. If terms are revoked on an account for any reason, those customers seeking a reinstatement of terms must resubmit a credit application and are subject to credit refusal.
  14. FA reserves the right to refuse credit to any or all applicants.

By signing below, I certify that I have read, understand and accept the terms and conditions of a credit account with Foreign Accents, Inc. (FA).

Signature:Title: Date:

Print Name: