Business Name:Years Open:
Sole Ownership
Partnership
Corporation

Street Address:		 City: State: Zip Code:
Telephone: Fax:
E-mail: A/P Contact:


REFERENCES 1

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PLEASE READ THE FOLLOWING AND SIGN BELOW:

The undersigned, by clicking the "SUBMIT" button below, you agree to pay this account in accordance with the following conditions:

  1. Terms and Conditions: all accounts are due and payable according to the terms noted on each invoice. Accounts not paid within the terms noted on each invoice will be subject to a service charge of 1 1/2% (one and one-half percent) per month.

  2. Should the account be placed for collection with an outside agency, FRAMA-TECH, INC, shall be entitles to their reasonable collection and/or legal expenses. This agreement and subsequent contracts/purchases orders shall be construed in accordance with the laws of the state in which the credit is extended.