Credit Application


TaxableTax ExemptResaleDirect Payment

APPLICANT: Officer / Principal: This application
MUST be signed by an Officer or Principal for processing

BANKING INFORMATION: This
MUST be the company working account. Not a savings account.

Company
Address
City
State
Zip
Phone
Fax



Accounts that exceed terms of payment will be subject to restrictions on entry of new order(s) or shipment of existing order(s).
In addition, invoices that are not paid within terms (Net 30 days without retention) will be subject to a 1 ½ % monthly
finance charge. The undersigned agrees to pay, in the event the account becomes delinquent and is referred to an attorney
for collection, attorney's fees plus all attendant collection costs. "I the applicant hereby give our bank and vendors
permission to release credit information to PPD&G. I further agree that notwithstanding that this application may be executed
in a corporate or representative capacity, the signer (applicant) hereof personally and individually guarantees and acts
as surety for the payment to PPD&G, Inc. of all amounts due from the undersigned to PPD&G."