PRO-TECT PLASTICS and SUPPLY, INC.
(541) 774-5506 or Fax (541) 774-5508 or E-Mail info@pro-tect.net
CREDIT APPLICATION
Full Name of Company______________________________________________________________
Billing Address______________________________City/St/Z________________________________
Shipping Address____________________________City/St/Z _______________________________Nature of Business_____________________Phone_________________Fax___________________
Purchasing E-Mail: ______________________________ A/P E-Mail: ________________________
Would you like Invoices E-Mailed or Mailed or Both? ________________________
Principal Owner_________________________________ Fed ID #____________________________BANK REFERENCES
Name of Bank___________________________ Name of Contact____________________________
Address___________________________________ City/St/Z _______________________________
Phone________________Fax_______________Account Numbers___________________________
Signature to release Bank Credit Information to Pro-Tect Plastic. _____________________________TRADE REFERENCES
List references who extended open credit in amounts equal to or greater than amount of current order or total
exposure you estimate for this new or potential account.
1.

Business Name______________________________ Name of Contact ___________________________
Address__________________________________ City/St/Z ____________________________________
Phone______________________ Fax____________________ Acct # (if any) ______________________

2.

Business Name______________________________ Name of Contact ___________________________
Address___________________________________ City/St/Z ___________________________________
Phone______________________ Fax___________________ Acct # (if any) _______________________

3.

Business Name______________________________ Name of Contact ___________________________
Address___________________________________ City/St/Z ___________________________________
Phone______________________ Fax___________________ Acct # (if any) _______________________

4.

Business Name______________________________ Name of Contact ___________________________
Address___________________________________ City/St/Z ___________________________________
Phone______________________ Fax___________________ Acct # (if any) _______________________ADDITIONAL INFORMATION - Attach any information you have that might be helpful to us in establishingcredit.

General Provisions
The terms and conditions of this application shall, upon extension of credit by the company, constitute an agreement ofsale. Should credit availability be granted by Pro-Tect Plastic and Supply, Inc., all credit shall be extended at the sole
discretion of Pro-Tect Plastic and Supply, Inc. We understand that Pro-Tect Plastic and Supply, Inc. may increase,decrease or terminate any credit availability at any time within its sole discretion.
1. I agree to provide Pro-Tect Plastic and Supply, Inc. with an updated credit application each year as a condition forthe continued extension of credit.
2. I agree to make payment to Pro-Tect Plastic and Supply, Inc. according to the payment terms that appear on each
invoice. The failure to pay on the net due date on each invoice shall deem the debt to be delinquent.
3. I understand that interest accrues against my past due account at a rate of 1.5% per month (18% per annum) or thehighest legal rate permitted by state law.
4. In the event that the account is turned over to an attorney or other agency for collection or suit is brought against
me, I agree to pay all reasonable attorney fees and court costs incurred by Pro-Tect Plastic and Supply, Inc. I hereto
knowingly and intentionally waive the right to a jury trial on any issue or dispute that may arise between us and Pro Tect Plastic and Supply, Inc.
______________________________
Business Name

By ___________________________________
Applicants Signature and Title

Authorization to Release Information
We do hereby authorize Pro-Tect Plastic and Supply, Inc. to contact the bank and trade references (including those listedherein) and any credit reporting agencies to obtain, verify credit information.
______________________________
Business Name

By __________________________________________
Applicants Signature and Title

Guaranty Agreement
In consideration of the extension of credit by Pro-Tect Plastic and Supply, Inc., the undersigned does hereby
unconditionally guaranty payment of whatever amount the applicant company named on the reverse side shall at any
time be owing to on account of goods and materials hereafter delivered, furnished or supplied, whether said indebtedness
is in the form of notes, bills or open account. This shall be an open and continuing guaranty and shall continue in force
notwithstanding any change in the form of the indebtedness or extensions granted by Pro-Tect Plastic and Supply, Inc.
and shall remain in force until expressly revoked by written notice from Pro-Tect Plastic and Supply, Inc. to you. The
undersigned Guarantor further agrees to pay all expenses, including court costs, attorney fees paid or incurred by ProTect Plastic and Supply, Inc. in collection of all amounts owed to them.
This guaranty shall be continuing, absolute and unconditional guaranty and shall be enforceable by Pro-Tect Plastic andSupply, Inc.
The liability of the undersigned Guarantor(s) shall be joint and several. Payment from the Guarantor of monies due andowing as a result of this guaranty agreement shall be due upon demand by Pro-Tect Plastic and Supply, Inc.
_____________________________________________Name (Please Print)_______________________
Date_____________________________________________
Signature (Personally and as an individual)______________________________________
Witness