*Government privacy laws require written permission for trade suppliers to provide us with account information.
Please sign and date below if you give the above-named suppliers your permission to disclose this information.
*The undersigned further declares that the statements made herein are for the express purpose of obtaining a
commercial credit account and are, to the best of my/our knowledge, believed to be true and correct. It is further
understood that this application is subject to the following terms and conditions upon approval:
    1. All invoices are due and payable 30 days from the date of the invoice.
    2. A 2% per month (24% per annum) finance charge will be applied on  all overdue accounts.
    3. Non-payment of invoices as they become due will be cause for withdrawal of credit.