Scripture Wear LLC For Office Use Only 1312 Glencastle Way Account # Raleigh, NC 27606 APPLICATION FOR OPEN ACCOUNT TERMS Business Name:____________________________________________Date:_________ Mailing Address:________________________________________________________ City State Zip Business Phone: ___________________________Fax#:_______________________ Number of years in business:_______ Legal Description of business(Please Circle): * Proprietorship * Partnership * Corporation Do you operate or have you operated under any other name in the past two years? If yes, state company name and address. Name:___________________________________________________________________ Address:________________________________________________________________________ City State Zip Owner's, Officer's, Director's or Partner's Names (please print legibly): 1._____________________________________________________________________ 2._____________________________________________________________________ References (Please list only open account references) Name:_________________________________________________ Address:______________________________________________ Phone # :____________________Fax #____________________ Account # _______________________ Name:_________________________________________________ Address:______________________________________________ Phone # :____________________Fax #____________________ Account # _______________________ Credit Guidelines and Disclosures for Open Accounts 1. Once your account has been established, credit limits will be increased or reduced reflecting your record of payment. If your record shows prompt payment, we will be pleased to adjust your credit limit upward. A late or partial payment would require and adjustment of your credit limit accordingly. 2. If your account is turned over to a collection agency or attorney for collection, or in the event of default, all collection, legal expenses and reasonable attorney fees will be paid by the debtor. Collection and legal expenses shall include, but not be limited to, all costs of filing in legal process, service of Summons and Complaint, witness fees, collection fees and attorney fees. All filings will originate in Raleigh, NC. Terms: All invoices are due and payable within (30) thirty days of the invoice ship date. A finance charge will be imposed on any amount thirty (30) days or more past due at a periodic rate of 2% per month (annual percentage rate is 24 per cent). This rate is based on your past due balance at the end of each billing period. Please note: Orders placed on past due accounts cannot be processed on your open account without prior approval. I authorize you to investigate my credit record. I certify that the above information is correct and agree to the above guidelines and terms. *Signature of the Owner/Partner or Officer______________________________ Title_______________________Date_________ Authorized Signature Other than Above___________________________________ Title_______________________Date_________ Authorization to Release Bank Information This is my authorization to release information to Scripture Wear Inc. for the purpose of supporting the credit application and establishing an open credit line. Name of your bank: ____________________________________________________ Bank Address: _________________________________________________________ City, State, Zip:______________________________________________________ Bank Phone #:________________________________ Bank Fax #___________________________________ Your Account #_______________________________ Authorized Signature *_________________________________________________ *PLEASE SIGN BOTH IN PLACES - WE MUST HAVE THIS TO PROCESS YOUR APPLICATION.