Business Credit Application

Company Name:
Company Address:
Phone:
Fax:
Date of Corporation:
Date of Partnership:
Date of Ownership:
Nature of Business:
Buyer or Person to Contact:
Would you prefer an open or C.O.D. account?

Principle Officers and/or Partners

Name:
Home Phone:
Address:
Soc. Sec. No. :
Name:
Home Phone:
Address:
Soc. Sec. No. :
Name:
Home Phone:
Address:
Soc. Sec. No. :

Credit References

Name:
Phone:
Address:
Name:
Phone:
Address:
Name:
Phone:
Address:
Bank Reference:
Branch:
Terms of Credit: Net 30 days. 1½% Finance Charge applied every 30 days past due date.

In consideration of LAMI-Lube Product extending credit to, or otherwise becoming the creditor of the debtor, the undersigned guarantors, jointly and severally, guarantee prompt payment when due of all obligations of the debtor to LAMI-LUBE PRODUCTS.

The undersigned agree that this is an absolute and continuing guarantee and, until revoked, shall cover future extensions of credit to the debtor, including, but not limited to, additional extensions of credit and any renewal of obligation, modification of terms or any obligation, and extension of time to pay any obligation.

This guarantee may be revoked by written notice to LAMI-LUBE PRODUCT and is effective upon receipt by it. This guarantee shall remain fully effective and enforceable as to any obligations created or incurred by the debtor prior to the effective date of such notice.

The undersigned waive all notices including, but not limited to, presentment, demand, protest, non-payment, renewal, modification of terms, and extension of credit.

Exemption Certificate

Date: 8/19/2018

It is hereby certified that all goods purchased from LAMI-LUBE are in accordance with the properly checked category below. This exemption certificate will become a part of each order unless specified in writing by the customer.

Company Name:
Address:
City:
State: