GENERAL INFORMATION

Date		Amount of credit requested
Which location will be providing concrete?	Please selectLufkinLongviewMarshallNacogdochesTylerAthensDoes not apply	Which location will be providing supplies?	Please selectLufkinLongviewTylerDoes not apply
Length of time in business		This application is for	Please selectan Individuala Corporationa Partnershipa Proprietorship
Applicant’s Name (if individual is applying)		Name of Company
Billing Address (Street/PO Box)		City, State, & Zip Code
Phone Number		Fax Number
Email		Tax ID Number

PRINCIPALS

Name
Name
Name

BANKING INFORMATION

Bank Name		City/State
Phone		Officer handling account

CREDIT REFERENCES    (Omission to provide fax numbers or e—mail addresses will result in a delay of account approval.)

1	Business Name City/State Email Phone Fax	2	Business Name City/State Email Phone Fax	3	Business Name City/State Email Phone Fax

TERMS AND CONDITIONS / GUARANTY AGREEMENT

Your Name and Title

I have read and agree to the Terms and Conditions of this application and to the Guaranty Agreement. (See below)

Please selectYes

TERMS AND CONDITIONS
Contractor′s Supplies, Inc. bills customers throughout the month. The total invoiced amount is due and payable within 30 days from the date of the invoice. If the total invoiced amount is not paid by the last day of the following month the account is past due and a service charge may be made, calculated on the last day of each month on the balance as of the last day of the previous month, (less payments and credits to said balance), until payment in full is made. Service charges on past due accounts will not exceed 1.5% monthly with an annual percentage rate of not more than 18%. If this account becomes delinquent it is hereby agreed that Applicant will pay for all collection agency fees and/or legal fees that are paid by Creditor to collect this account.

GUARANTY AGREEMENT:
In consideration of credit being extended by Contractor’s Supplies, Inc. to the named applicant for merchandise to be purchased, whether applicant be an individual or individuals, a proprietorship, a partnership, a corporation or other entity, the guarantor or guarantors each hereby contract and guarantee to Contractor's Supplies, Inc. the faithful payment, when due, of all accounts of said applicant for purchases made upon activation of this account (at time of first charged purchase). The guarantor or guarantors each hereby expressly waive all notice of acceptance of this guaranty notice of extension of credit to applicant, presentment, and demand for payment on applicant, protest and notice to guarantor or guarantors of dishonor or default by applicant or with respect to any security held by Contractor’s Supplies, Inc., extension of time of payment to applicant, acceptance of partial payment or partial compromise, all other notices to which the guarantor or guarantors might otherwise be entitled and demand for payment under this guaranty.