*Date
of Application:
Corporate
Data
*Legal
Name of Corporation:
* Physical Address:
Address
2:
*City:
State:
Zip Code:
*General Corporate E-mail Address:
Mailing Address:
Address
2:
City:
State:
Zip Code:
*Date
of Corporation: (mm/dd/yyyy):
*Type of Corporation:
"S"
"C"
SIC Code:
*Year Company First Started:(yyyy):
*Number of Employees:
* Tax ID Number:
*State Corporation Recorded / Filed in:
Is
this Corporation a: (check all that apply)
Parent Company / Corporation of ? If so, of
Subsidiary Company / Corporation of ? If so, of
*Corporate
Officers:
(Name) (Title)
*Landlord:
The Landlord of record is:
Name:
Address:
Address 2:
City:
State:
Zip Code:
Country:
*Lease
Payment:
per
Month
Year
*This
Application filled out by:
*Name:
*Position:
*Your
Phone Number:
Extension:
*Person
to contact regarding this Application:
*E-mail
for contact Person:
*Business
Reference Information:
*1).
Company:
Address:
City:
State:
Zip Code:
2). Company:
Address:
City:
State:
Zip Code:
3). Company:
Address:
City:
State:
Zip Code:
4). Company:
Address:
City:
State:
Zip Code:
All payments due on the 10th of each calendar
month, you may select a different due date here, (if none selected the due
date will be the 10th of the month). I would like my payments to be due
on the
of the month for 12 months.
Our Credit terms are as follows:
The APR is 18% (1.5% per month) all contracts
are based on a 12 month term length. Unless otherwise requested no contract
shall exceed 12 months. All Payments are due by the 10th of each calendar
month (unless you specify an alternate date above).Payments not received
at "INNOMARKS, INC." within 5 days of the due date will be considered late
and will be charged a $15.00 late fee. Interest Rates are charged on the
"Balance Due" at a rate of 1.5%.
By Submitting this Credit Application "YOU"
agree to the terms contained herein, and if Approved this Application becomes
a legal contact between "YOU" and "INNOMARKS, INC". And "YOU" agree to
be bound by the terms and conditions within. "YOU" further agree that in
the event that legal proceedings are needed to enforce this contract "YOU"
will in addition to the "Balance Due" be obligated to payment of "Late Fees"
and incurred "Court and Legal Counsel fees".
I enter this Credit Application on the "Date
of Application" entered above contained herein. And I authorize "INNOMARKS,
INC." or its assigns to investagate my Credit which may include but not limited
to the use of a "Credit Reporting Agency". By entering my initials and submitting
this form I agree to all terms herein.
I further Agree that I have full
authorization to enter this "Agreement" for the Corporation I represent. And
that this obligation is between the Corporation and INNOMARKS, INC.
*Initial here
