Business Credit Application

Business Credit Application Spake Concrete Products, Inc.

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*Company Name:         Contractor License #:

Mailing Address:         Phone #:

Street Address:         *Email Address:

How Long Have You Been In Business?         Do You Require PO#? YesNo

Is This A Non-Taxable Account? If Yes, Resale #:

Account Type:

Credit Information

Mortgage Loan:         Contact:

Bank:         Contact:

Charge Accounts:

Job Information

Job Location:

Job Type: New HomeAddition to HomeOther

Additional Comments:

Agreement for Credit

I hereby certify that the above statements are true and complete and are made for the purpose of obtaining credit. The undersigned form and in consideration of the extension of credit for the purchase of merchandise and building supplies from SPAKE CONCRETE PRODUCTS, hereby agrees to make all payments within the terms of credit extended. All purchases made by the 25th day of any month will be considered due and payable on or before the 10th day of the month following purchases. Any account unpaid by the 10th of the month following purchase will be considered delinquent. It is understood and agreed that the purchaser will pay a monthly service charge of 1-1/2% per month on any unpaid balance as of the 25th of the month following the purchase.

I hereby guarantee payment of all purchases and any service charge that accrues.

Agreement is acknowledged this day of , 20 at Shelby, Cleveland County N.C.

*Applicant Full Name: