Application for Credit to be Printed

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Cal State Xpress, Inc.
9850 E. Frontage Rd.
P.O. Box 2398
South Gate, CA 90280
Ph# (562) 806-7333
Fax# (562) 806-7343
  Date
I/We herewith make application to L.A. Xpress Assembly and Distribution, Inc. d.b.a. Cal State Xpress, Inc. (hereinafter "Cal State Xpress") for credit, or an increase or reconfirmation of our existing credit and account. The undersigned gives and grants Cal State Xpress, or their agent, permission to verify all information stated herein at any time. I/We hereby agree that all credit granted shall be paid timely in accordance with Cal State Xpress' normal terms. I/We do affirm that all information supplied is true and correct.

PLEASE ANSWER ALL QUESTIONS

Company Name
  Partnership Proprietorship Corporation
If Corporation, State & Year Incorporated  
Date Corporation Established
Federal ID#
Type of Business
Phone #
Fax #
e-mail
Street Address
City
State
Zip
How Long at This Address
        Mailing Address
City
State
Zip
Does Company Own Real Property   No Yes
  Address
 
Do you pledge, factor or borrow accounts receivable:     No Yes
  From Whom
 
Special Billing Instructions
Amount of Credit Requested
Normal Payment Cycle

LIST ALL BANK ACCOUNTS AND INFORMATION

Name Acct. Num.
        City State Type of Acct
        Contact Phone Num.

Name Acct. Num.
        City State Type of Acct
        Contact Phone Num.
Signature to authorize release of banking Info.: X
Title:

LIST ALL PRINCIPALS OF COMPANY WITH THEIR TITLES

Name:
Title:
SS#:
Home Address:
City:
State:
Zip: Own: Rent:
 
Name:
Title:
SS#:
Home Address:
City:
State:
Zip: Own: Rent:
 
Name:
Title:
SS#:
Home Address:
City:
State:
Zip: Own: Rent:

COMPANY SUPPLIERS / REFERENCES

Name:
City:
State:
Phone Number
Contact:
 
Name:
City:
State:
Phone Number
Contact:
State:
Name:
City:
State:
Phone Number
Contact:

CREDIT AGREEMENT

In consideration of the credit to be extended to me under this agreement, I/We herewith agree to pay all invoices within the agreed to terms of NET 30 Days; that in the event of default on any invoice Cal State Xpress shall have the right to declare all invoices due and payable at once; that in the event legal action is instituted to enforce collection, to pay reasonable attorney's fees and costs for such legal action. In the event of a dispute or Litigation between the parties, it is hereby agreed that Jurisdiction and Venue shall be in Los Angeles County, California. I/We authorize Cal State Xpress to run credit reports and/or confirm the information in this credit application. I/We further agree to the terms and conditions contained within the tariffs of Cal State Xpress and on the Cal State Xpress invoice. I/We further authorize my/our bank to release general information to Cal State Xpress if they so request. I further declare that I have the authority to apply for credit on behalf of the above named entity. That upon payment in full of any invoices, this agreement will remain in effect and will apply to any and all invoices thereafter.
Name of Business:
Date:
Signature: X
Print Name & Title:

PERSONAL GUARANTEE

The undersigned agrees to act as a personal guarantor and co-signer to this agreement for all debts incurred both now and in the future for all monies owned by the Company, Organization, Persons, or Corporations who have signed this credit application and who have been extended credit both now and in the future. Guarantor recognizes, understands and agrees that this guarantee cannot be revoked or rescinded if any balance remains owed and outstanding to Cal State Xpress and Guarantor hereby waives their subrogation or recovery rights.
Guarantor: X
  Signature Must be Owner, Partner, or Officer
Guarantor: X
  Signature Must be Owner, Partner, or Officer
Signature: Witness/Agent
of Cal State Xpress :
X
Date:

 

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