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CUSTOMER INFORMATION

SHIPPING ADDRESS
BILLING ADDRESS

BUSINESS STRUCTURE

Type of Business Structure

NUMBER OF EMPLOYEES

IN BUSINESS SINCE

LICENSING INFORMATION

(MASTER OR CLASS B)

CREDIT REQUEST

TRADE REFERENCES

FIRM NAME
ADDRESS
PHONE
EMAIL

BANK REFERENCE

SALES TAX

SALES TAX TO BE CHARGED?

OFFICE USE

ARE YOU SUBJECT TO A CITY OR COUNTY TAX?

Invoices are emailed.

TERMS AND CONDITIONS OF CREDIT

In consideration for Border States Industries, Inc., dba Border States, Border States Electric and Chapman Metering, (“Company”) permitting the undersigned individual or entity (“Applicant”) to purchase materials from the Company, the Applicant agrees that the following terms and conditions shall control with respect to all business dealings, determinations and sales:
1 . The person(s) signing this credit application (“Application”) warrants and represents to the Company that they have full authority to enter into this Application on behalf of the Applicant. Applicant represents that all materials purchased from the Company are for agricultural, business or commercial purposes only and not for personal, family or household purposes. The Applicant understands that the submittal of this Application does not constitute a credit account until approved by the Company.
2. Applicant agrees to pay for all materials purchased from the Company by the due date according to the terms of sale stated on each invoice or as otherwise agreed to in writing between the Applicant and the Company. All accounts are due and payable at the address shown on the Company's invoice. Credit availability shall be at the sole discretion of the Company and may be terminated or changed at any time by the Company. The Company specifically reserves the right to require payment in cash for any shipment or delivery should the Company so determine.
3. Applicant agrees to pay late payment fees on all past due amounts at a rate of 1.5% per month, but not to exceed the highest rate lawfully allowed in the state in which this Application is executed. Acceptance of any payment from Applicant without the accrued interest included shall not be deemed to be a waiver of such accrued interest.
4. To the extent allowed by applicable law, the Applicant agrees to pay all costs of collection incurred by the Company relating to this Application or the Applicant's account, including reasonable attorneys' fees, expert witness fees and costs, without regard to whether a lawsuit or arbitration is commenced. The law of the state where the Company’s branch office with primary responsibility for servicing the Applicant is located shall govern. Any action arising out of or relating to this Application or disputes concerning the Applicant's account commenced by the Applicant shall be brought by the Applicant in the county and state where the Company’s office with the primary responsibility for serving Applicant is located. This choice of law and venue provision is a negotiated term and an integral part of the bargained for consideration for this Application.
5. Company's Terms and Conditions of Sale apply to all transactions between Company and Applicant and are incorporated herein by reference. These terms are located at www.borderstates.com and may be updated as necessary by Company. No terms or conditions or purchase orders of the Applicant that are different from the Company terms will become part of any contract unless approved in writing and signed by an Officer of the Company.
6. As security for the payment obligations of the Applicant owing the Company under any outstanding invoice, the Applicant hereby grants to the Company a security interest in the goods described in such invoice or invoices, together with the proceeds thereof. The Applicant agrees to provide the Company with such financing statements and other documents as the Company may request in order to perfect its security interest. In addition, the Applicant appoints the Company as its attorney-in-fact to execute and file any such financing statement or statements necessary to perfect the Company’s security interest. Company retains all rights, as appropriate and necessary, to file mechanics liens, bond rights and file lawsuit for payment.
7. The Company is hereby authorized to investigate the references listed in this Application pertaining to the credit and financial responsibility of the Applicant. As often as the Company may request, the Applicant will provide financial statements and such other financial information of the Applicant (and any guarantor of Applicant’s account) as the Company shall request from time to time. In addition, the Company is authorized to obtain, from time to time, credit reports on the Applicant. The undersigned hereby consent(s) to the Company’s use of a non-business consumer credit report on the undersigned in order to further evaluate the credit worthiness of the undersigned as principal(s), proprietor(s) and/or guarantor(s) in connection with the extension of business credit as contemplated by this Application. The undersigned hereby authorize the Company to utilize a consumer credit report on the undersigned from time to time in connection with the extension or continuation of the business credit represented by this Application. The undersigned as [an] individual(s) hereby knowingly consent(s) to the use of such credit report consistent with the Federal Fair Credit Reporting Act as contained in 15 U.S.C. ¶ 1681 et. seq.
Clear Signature
Clear Signature
8. In the event of any change in character of ownership of the Applicant's business whether by incorporation or otherwise, by addition of partners, members or any other change in the ownership interest of the Applicant, Applicant shall immediately notify Company. Any change not relayed to Company may be grounds for a breach of this agreement and Application and Company may revoke any and all credit terms. The Company will rely on the information provided in the Application until notified by Applicant to the contrary. Any notice contemplated by this paragraph shall be sent by the Applicant, by certified mail, return receipt requested, to the Company at the address shown on the then most current invoice.
By signing below, the Applicant acknowledges its agreement to these Terms and Conditions of Credit, and the individual signing on behalf of the Applicant warrants that they are signing with full and complete authority to bind Applicant.

PERSONAL GUARANTEE

The undersigned, whether one or more, jointly and severally, as an inducement to the Company to extend credit terms, do hereby unconditionally guarantee the payment of any and all obligations, debts and/or liabilities (including interest and attorneys' fees) of the Applicant, which have in the past or may in the future be owing the Company on open account or otherwise under the same conditions. The obligations under this guarantee are primary and independent of the Applicant’s obligations, and the undersigned waive: (1) any right to require the Company to proceed against Applicant or pursue any other remedy and any statute of limitations pertaining thereto; (2) diligence, demand, presentment for payment and protest; (3) the application of any statutory provisions requiring joinder or limiting the liability of a surety, endorser or guarantor; and (4) notice of any extension, forgiveness, re-structuring or modification of Applicant’s present or future indebtedness to the Company.
The undersigned hereby consent(s) to the Company’s use of a non-business consumer credit report on the undersigned in order to further evaluate the credit worthiness of the undersigned as principal(s), proprietor(s) and/or guarantee(s) in connection with the extension of business credit as contemplated by this Application. The undersigned hereby authorizes the Company to utilize a consumer credit report on the undersigned from time to time in connection with the extension or continuation of the business credit represented by this Application. The undersigned as (an) individual(s) hereby knowingly consent(s) to the use of such credit report consistent with the Federal Fair Credit Reporting Act as contained in 15 U.S.C. ¶ 1681 et. seq. If the undersigned lives in the following states: Alaska, Arizona, Arkansas, California, Delaware, District of Columbia, Florida, Hawaii, Idaho, Illinois, Indiana, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Vermont, Virginia, Washington, Wisconsin or Wyoming, the undersigned may be required to provide the signature of their spouse in addition to their own signature before the Company extends credit terms.
Clear Signature
Clear Signature
GUARANTOR MAY REVOKE THIS GUARANTEE AS TO FUTURE TRANSACTIONS ONLY BY SERVING WRITTEN NOTICE UPON THE COMPANY, BY CERTIFIED MAIL, RETURN RECEIPT REQUESTED, AT THE ADDRESS THAT THE ACCOUNT IS MANAGED. RECEIPT OF SUCH NOTIFICATION WILL NOT RELIEVE GUARANTOR OF ITS GUARANTEE LIABILITY BY THE COMPANY FOR ANY ORDERS ACCEPTED BY THE COMPANY ON OR BEFORE THE DAY THE COMPANY RECEIVES SAID REVOCATION.
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