Credit Application for Zia Materials-Zia Materials

Credit Application for Zia Materials

Legal Business Name

DBA if available

Federal Tax Identification #

State Resale #

Business Address - Physical

Billing Address

Purchasing - Name

Purchasing - Email

Purchasing - Phone Number

Accounts Payable - Name

Accounts Payables - Email

Accounts Payables - Phone Number

Office Phone Number

Zia Materials Sales Rep

Trade Reference #1

Trade Reference #1 Email

Trade Reference #2

Trade Reference #2 Email

Trade Reference #3

Trade Reference #3 Email

Bank Name

Account Number

Account Manager

Account Manager Contact Information ( ph# or email)

Owner, Partners, or Corporate Officers Name

Credit Limit Requested

How did you hear about us?

Zia Materials Employee

Social Media

Other

Disclaimer:

PARTIES HEREBY AGREE THAT ALL PURCHASES MADE ARE SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS AS WELL AS ANY TERMS AND CONDITIONS STATED ON THE INVOICES:

Items subject to discount earn such discount at the rate of 1% if paid by the 10th of the month following the billing date. All invoices are due in full (net) on the 30th day of the month following the billing date. An additional 11⁄2% service charge (or the maximum amount permitted by applicable state law) will be charged to all accounts not paid within 30 days after due date and similarly, each month thereafter until paid.

The undersigned purchaser agrees to pay in the event his account becomes delinquent and is turned over to an attorney or collection service, reasonable attorney’s fees plus all court and attendant collection costs.

will be at the sole discretion of Zia Materials

The parties hereby acknowledge that the goods and/or services are not payable in installments, but are payable in full.The undersigned purchaser agrees that invoices and monthly statements are accurate in all respects unless undersigned purchaser notifies Zia Materials

This credit application shall be governed by laws of the State of New Mexico

in writing within ten (10) days of receipt of the invoices or statement.

Printed Name & Title

Signature of Application

Date

Personal Guranty

In consideration of Zia Materials, now or hereafter extending credit to the applicant (s) that appear on this form.

or of inducing temporary forbearance from collection of account for monies due at the time hereof from the person or firm applying for credit, listed on the previous page hereof, the undersigned hereby absolutely and unconditionally guarantees, as a principal, on a continuing basis, the performance of the person or firm on the previous page hereof applying for credit, and to whom credit is extended including but not limited to the due and prompt payment of all present and future indebtedness, whether secured or unsecured and regardless of how the indebtedness is represented or incurred. The undersigned consents to any extension or alteration of any obligation and guarantees such without prior notice, demand or pursuit of remedies against the party primarily liable. This guarantee shall continue in effect until the undersigned has notified the creditor in writing of its cancellation, even in the event that applicant shall incorporate, but such cancellation shall not alter any obligation of the undersigned arising hereunder prior to receipt of such written notice. The undersigned hereby further agrees to indemnify and save creditor harmless from any loss, damage and expense caused by or arising out of any default on the part of such person or firm in making payment of any part or all of such sums and in the event of such default agrees, upon demand to pay creditor the amount of any such loss, damage and expense. The undersigned further agrees to pay all reasonable costs, expenses, and attorney’s fees incurred in the enforcement of this continuing guarantee, or in the enforcement of any obligation as a result of the extension of credit including but not limited to the collection of any past due indebtedness whether or not suit is filed. This agreement shall bind the heirs and personal representatives of the undersigned.

This continuing Guarantee shall be governed by the laws of State of New Mexico and venue shall be in New Mexico at the sole discretion of Zia Materials.

Date