Credit Application

CREDIT ACCOUNT APPLICATION

Always Redi-Mix, Inc. & Strupp Trucking & Excavating Inc.
Fax-608-781-1789 Phone-608-781-9828 Email-kellystrupp@yahoo.com

Company Name and Purchaser Name:___________________________________________________________________

Address: __________________________________________________________________________________________

City: ___________________________________________________ State:__________ Zip Code:__________________

Telephone: ________________________________________ Facsimile: ______________________________________

Mobile: __________________________ E-mail:__________________________________________________________

Business Type:  Corporation  Partnership  Proprietorship (individual) – Date Started or Incorporated: ___________

Federal ID No.:___________________ Sales Tax Exempt No: ______________________________________________ (Attach Copy of Certificate)

The company has a total number of _____________ corporate officers, shareholders, partners or owners.
For each such person, please provide the information requested below.

Owner/Officer Name Social Security Number Title

1.________________________________________________________________________________________________

2.________________________________________________________________________________________________

3. _______________________________________________________________________________________________

Trade References City/State Telephone Number Fax Number

1.________________________________________________________________________________________________

2.________________________________________________________________________________________________

3.________________________________________________________________________________________________

Bank Reference City Account Number

________________________________________________________________________________________________

If invoices are not paid within 30 days of date on invoice, a lien right notice letter will be mailed to the property owner.

Purchaser initial you understand the lien rights law _________________

Office Only
Date Reviewed: Credit Limit Authorized: $ Application Reviewed by:__________________________

Account Terms
1. The Applicant is authorized to execute this document on behalf of the Purchaser and agrees that a facsimile/Emailed copy of this document may be used as an original copy by Company for any purpose.
2. The opening of a credit account by Company for Purchaser is not a commitment by Company to sell or deliver goods to Purchaser
3. Payment to Company by Purchaser on its open credit accounts shall be made by the thirtieth (30th) day following each of Purchaser’s orders and the resulting delivery of products and services by Company. The Purchaser shall pay INTEREST at a RATE OF 1 1/2% per month (an ANNUAL PERCENT RATE OF 18%) on the unpaid balances owed at the end of the previous billing cycle after subtracting any payments made and credits allowed during a billing cycle.
4. Purchaser shall pay all collection costs incurred by Company including, but not limited to, arbitration, mediation, or litigation (court) costs and its reasonable attorney fees.
5. Purchaser and Applicant both hereby authorize their credit references or any organization in the business of providing credit information to provide Company all the information it requests.
6. APPLICANT FURTHER AGREES TO BE INDIVIDUALLY BOUND BY ALL TERMS SET OUT ABOVE AND AGREES TO BE RESPONSIBLE FOR PAYMENT OF PURCHASER’S CREDIT ACCOUNT BALANCE TO COMPANY OR ITS SUBSIDIARIES. Applicant acknowledges that this is a continuing guaranty and shall be in effect as to all sales made by the company to either written purchaser prior to receipt by the company of either written notice from applicant of termination of this Guaranty or written notice of death of the applicant. Said written notice must be sent by certified or registered mail to: Credit Manager, Always or Strupp-N6200 Cty Rd XX-Onalaska, WI 54650.

All Corporate officers, owners, shareholders and/or partners must sign.

Purchasers Name: _________________________________________________________Date: _____________________

By:_______________________________________________________________________________________________(Signature of Applicant individually and on behalf of Purchaser) (print name) (Title) (date)