| Company Name: |
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| EIN:
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| Address
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| Country:
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| Phone # (Area Code):
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| Fax # (Area Code):
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| E-Mail Address:
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References:
(Give Company Name, Address, Phone, Account # and contact name for each.)
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Trade Reference 1:
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| Company:
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| Address
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| City, State, Zip
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| Contact
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| Telephone
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Trade Reference 2:
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| Company:
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| Address
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| City, State, Zip
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| Contact
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| Telephone
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Trade Reference 3:
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| Company:
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| Address
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| City, State, Zip
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| Contact
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| Telephone
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Bank Reference:
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| Name:
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| Address:
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| City, State, Zip:
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| Contact:
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| Telephone:
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| Account #:
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Persons authorized to make purchases:
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| Name 1:
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| Name 2:
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| Name 3:
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The undersigned (the "Company") hereby applies for a business
credit account with Digicomm. The credit is not for personal,
household or family use. The Company will abide by the terms as
charged or as set out on any contract, purchase order, invoice, bill
of lading or any other documents, all of which are made a part
hereof, for any goods, equipment and service delivered by Digicomm
at the cost of goods, equipment or services and payment will be due
according to mutually agreed terms. By this document (The
"Agreement") Digicomm is entitled to obtain credit information from
the references listed above.
In all goods and equipment purchased under the account created by
this application as described in the shipping invoice, the Company
grants to Digicomm a security interest to secure performance and
payment of its obligations.
The Signatory here to warrants that he or she and the person(s)
listed above have the authority to obligate the Company by purchased
goods, equipment and services from Digicomm, and that he or she has
the authority to bind the Company to this Agreement. The Company
shall be responsible for payment of all sales and use taxes and
shall indemnify and hold harmless Digicomm from any loss, cost, or
expense Digicomm may incur, including attorney fees and court costs,
in the event the Company fails to pay such taxes.
The Signatory warrants that he or she has personal knowledge of the financial condition of the company and
represents that the Company is in good financial condition, will be able to pay
Digicomm in the amount of the credit limit, and will so pay within mutually
agreed terms.
In the event of a breach of this agreement, then
Digicomm shall be entered to all costs of collection, including
reasonable attorney's fees. In the event of failure of timely
payment Digicomm shall be entitled to receive interest on the past
due amount at the annual rate of eighteen percent (18) in addition
to the principal balance.
The place of performance and transaction of business shall be
deemed to be in the County of Arapahoe, State of Colorado, and in
the event of litigation, the obligor consents to in personam
jurisdiction of the Colorado courts, County of Arapahoe, State of
Colorado.
Should any of the provisions of this Agreement be deemed by a
court of competent jurisdiction to be void, voidable, or
unenforceable, only that provision shall be affected thereby and all
other provisions shall remain enforceable.
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