CREDIT APPLICATION
Steps Plus, Inc. - 6375 Thompson Rd. - Syracuse, N.Y. 13206 - Ph.: 315-432-0806 - Fax: 315-432-0612

1. Name of Company: _____________________________________________ Phone: _______________

  Address:_________________________________________________________ Fax:_______________

2. Form of Business:   Corporation_____       LLC_____      Partnership_____      Sole Proprietor_____

3. Officers:    Name & Title                    Address                    Home Phone                   Cell Phone

 a. ___________________________________________________________________________________

 b. ___________________________________________________________________________________

 c. ___________________________________________________________________________________

4. Years in Business:________; Prior Co. Name (if less than 2 years): ______________________________

5. Bank: (Name, Branch Address & Phone): ___________________________________________________

    Accounts (Types & Numbers): _________________________________________________________

6. Bonding Company(ies): (Name, Address, Phone)
  a. ______________________________________________________________________________

  b. ______________________________________________________________________________

7. Credit References: (Name, Address, Phone)
  a. ______________________________________________________________________________

  b. ______________________________________________________________________________

  c. ______________________________________________________________________________
8. Standard Terms: Net 30 days; No retainage allowed; No discounting allowed; Late charge is 1% per month (12% per annum) on any unpaid balance.

Signature:____________________ Printed: __________________ Title: ______________ Date: ___________

For Corporations
9. I hereby unconditionally guaranty full and prompt payment to Steps Plus, Inc., of any sum which may become due to Steps Plus, Inc., pursuant to any contract, agreement, or other obligation, or any extension or modification thereof. I guaranty to pay on demand all costs and expenses incurred by Steps Plus in enforcing the underlying obligation as well as this guaranty, including attorney's fees, costs, and disbursements. This guaranty is absolute and unconditional and I hereby waive the right to assert any set-off, defense, or counterclaim in any action brought by Steps Plus. I further waive notice of demand or default.
Signature:____________________ Printed: __________________ Title: ______________ Date: ___________
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