CREDIT APPLICATION

( ) NEW ACCOUNT ( ) CHANGE OF NAME ( ) CHANGE OF OWNERSHIP

PRINT ALL INFORMATION _________________

CORPORATION ( ) PARTNERSHIP ( ) PROPRIETORSHIP ( )

EXACT NAME OF OWNER(S) OR CORP: ______________________________________________________________________

D/B/A, IF DIFFERENT: ______________________________________________________________________________________

DELIVERY ADDRESS: ______________________________________________________________________________________

CITY/STATE/ZIP
MAILING/BILLING ADDRESS: _______________________________________________________________________________
CITY/STATE/ZIP
TYPE OF BUSINESS: __________________________PHONE:( )___________FAX:( )_____________________________

BOOKKEEPER/ACCOUNTANT/ACCOUNTS PAYABLE SUPERVISOR: _____________________________________________

___________________________________________________________________________________________________________
_

NAME OF MANAGER: ______________________________________________________________________________________

_
DATE BUSINESS ESTABLISHED:_____________________________________ PREVIOUS BUSINESS OWNED ____Y ____N
(UNDER CURRENT OWNERSHIP) NAME:___________________________________________

OWNER(S) /OFFICERS(S) NAME(S) AND HOME ADDRESSES:

NAME AND TITLE STREET ADDRESS CITY/STATE/ZIP PHONE
___________________________________________________________________________________________________________
_

___________________________________________________________________________________________________________
_

___________________________________________________________________________________________________________
_

IF CORPORATION OR PARTNERSHIP, LIST THE FOLLOWING:

HEADQUARTERS ADDRESS:_________________________________________________________________________________
FEDERAL ID # OR
STATE SALES TAX # ___________________________________________BUSINESS LIC. # _____________________________

NAME OF BANK(S):____________________________________________ACCOUNT #__________________________________

___________________________________________________________________________________________________________
_
BANK ADDRESS CITY/STATE ZIP PHONE
NAME(S) OF PERSON(S) SIGNING CHECKS: (PLEASE PRINT)

______________________________________________________DRIVERS LICENSE #__________________________________

______________________________________________________DRIVERS LICENSE #__________________________________

TRADE REFERENCES (LOCAL PREFERRED):

NAME ADDRESS CITY/STATE/ZIP PHONE

___________________________________________________________________________________________________________
_

___________________________________________________________________________________________________________
_

___________________________________________________________________________________________________________
_

THE INDIVIDUAL(S) SIGNING THIS APPLICATION HEREBY AGREE AS FOLLOWS:

1. CUSTOMER MUST MEET MINIMUM ORDER REQUIREMENT.

 2. ANY CLAIMS MUST BE FILED WITHIN 24 HOURS, AND MERCHANDISE ACCEPTED FOR RETURN AFTER 15
DAYS IS SUBJECT TO RESTOCKING CHARGE. ALL MERCHANDISE MUST BE IN ITS ORIGINAL CASE AND
COMPLETE. MERCHANDISE ACCEPTED FOR RETURN IS ACCEPTED FOR CREDIT OR EXCHANGE ONLY. NO
CASH REFUNDS. A CREDIT MEMO WILL BE ISSUED FOR RETURNED MERCHANDISE.

ALL CONTRACTS SUBJECT TO CONTINGENCIES OF TRANSPORTATION, STRIKES AND OTHER UNAVOIDABLE ACCIDENTS OR CAUSES BEYOND OUR CONTROL
ALL QUOTATIONS FOR IMMEDIATE ACCEPTANCE AND SUBJECT TO CHANGE WITHOUT NOTICE.

3. APPLICANT WILL BE NOTIFIED IF ANY CHECK IS RETURNED UNPAID. ONLY A CASHIER’S CHECK,
MONEY ORDER OR CASH WILL BE ACCEPTED FOR PAYMENT ON THE RETURNED CHECK. IT IS NOT OUR
POLICY TO REDEPOSIT THE RETURNED CHECK. A FEE TO COMPLY WITH FLORIDA STATUTE 68.065 WILL
BE CHARGED AND MUST BE INCLUDED WITH THE PAYMENT. ORDERS WILL BE SENT CASH ONLY UNTIL
THE MATTER IS CLEARED. THE TERMS OF YOUR ACCOUNT WILL BE CHANGED TO CASH ONLY C.O.D. IF
A SECOND CHECK IS RETURNED.
4. BY SIGNATURE (S) BELOW, APPLICANT REPRESENTS AND WARRANTS THAT ALL STATEMENTS MADE
HEREIN ARE TRUE AND CORRECT, AND THAT THE APPLICANT AGREES TO PAY ALL INVOICES IN
ACCORDANCE WITH THE TERMS HEREOF AND THE TERMS OF EACH INVOICE, TOGETHER WITH INTEREST
AT THE HIGHEST LEGAL RATE ALLOWED BY LAW. IF PENINSULAR PAPER COMPANY, INC. EMPLOYS AN
ATTORNEY AND/OR INSTITUTES SUIT TO EFFECT COLLECTION OF THIS ACCOUNT, APPLICANT AGREES
TO PAY A REASONABLE ATTORNEY’S FEE AND ALL COSTS INCURRED BY PENINSULAR PAPER COMPANY,
INC. WHETHER INCURRED THROUGH LITIGATION OR OTHERWISE, AND FURTHER AGREES THAT THE
ABOVE-SAID INTEREST AT THE HIGHEST RATE ALLOWED BY LAW SHALL CONTINUE AFTER ENTRY OF
JUDGMENT ON ALL AMOUNTS FOUND TO BE DUE AND OWING, INCLUDING COSTS AND FEES, AND SHALL
BE INCORPORATED INTO ANY SUCH JUDGMENT ENTERED.
5. ALL ACCOUNTS ARE DUE AND PAYABLE AT TAMPA, HILLSBOROUGH COUNTY, FLORIDA. APPLICANT
HEREBY WAIVES THE RIGHT TO BE SUED IN ANY OTHER COUNTY OR JURISDICTION, AND AGREES THAT
IF LEGAL ACTION IS INSTITUTED, VENUE AND THE PLACE OF ALL DISCOVERY SHALL BE IN
HILLSBOROUGH COUNTY, FLORIDA. FURTHER, THE PLACE OF POST-JUDGMENT PROCEEDINGS,
INCLUDING THE TAKING OF DEPOSITIONS OR OTHER DISCOVERY IN AID OF EXECUTION, SHALL BE IN
HILLSBOROUGH COUNTY, FLORIDA.
6. THIS AGREEMENT CONSTITUTES THE ENTIRE AGREEMENT BETWEEN THE PARTIES, AND NO PRIOR ORAL
OR WRITTEN REPRESENTATIONS, PROMISES OR UNDERTAKINGS SHALL AFFECT, VARY, ALTER OR
MODIFY THE TERMS HEREOF. THIS AGREEMENT SHALL BE GOVERNED BY AND ENFORCED UNDER THE
LAWS OF FLORIDA AND MAY NOT BE MODIFIED, ALTERED OR AMENDED EXCEPT BY WRITTEN
AGREEMENT SIGNED BY THE PARTIES HERETO.
7. NO FAILURE OF PENINSULAR PAPER COMPANY, INC. TO EXERCISE ANY RIGHTS HEREUNDER OR TO
INSIST UPON STRICT COMPLIANCE HEREUNDER, AND NO CUSTOMARY PRACTICE OF THE PARTIES AT
VARIANCE TO THE TERMS HEREOF, SHALL CONSTITUTE A WAIVER OF THE RIGHTS OF PENINSULAR
PAPER COMPANY, INC. TO DEMAND COMPLIANCE WITH THE TERMS HEREOF IN THE EVENT OF
SUBSEQUENT DEFAULT.
8. IF APPLICANT IS A CORPORATION OR A PARTNERSHIP, THE PERSONS SIGNING THIS AGREEMENT ON
BEHALF OF SUCH CORPORATION OR PARTNERSHIP HEREBY WARRANT THAT THEY HAVE FULL
AUTHORITY FROM SUCH CORPORATION OR PARTNERSHIP TO SIGN THIS AGREEMENT AND OBLIGATE
THE CORPORATION OR PARTNERSHIP HEREUNDER, AND THE SAID PERSONS HEREBY AGREE TO
GUARANTEE AND BE HELD PERSONALLY LIABLE FOR ALL AMOUNTS DUE TO PENINSULAR PAPER
COMPANY, INC., PRESENTLY OR IN THE FUTURE; THIS IS A PERMANENT AND CONTINUING PERSONAL
GUARANTY IN FAVOR OF AND FOR THE BENEFIT OF PENINSULAR PAPER COMPANY, INC., ITS
SUCCESSORS AND ASSIGNS. THE PERSONS SIGNING THIS AGREEMENT FURTHER AGREE THAT
PENINSULAR PAPER COMPANY, INC. IS AUTHORIZED TO CHECK THEIR PERSONAL CREDIT, OBTAIN
PERSONAL CREDIT REPORTS, AND ANSWER QUESTIONS ABOUT CREDIT EXPERIENCE WITH THEM AND
OR THEIR COMPANY.
9. THE WORD “APPLICANT” AS USED HEREIN SHALL REFER TO THE NAME OF THE CORPORATION,
PARTNERSHIP OR PROPRIETORSHIP APPLYING FOR CREDIT HEREON, AS WELL AS TO ALL PERSONS
SIGNING THIS CREDIT APPLICATION.

BY: ________________________________________ _________________________________________

(SIGNATURE) (PRINT NAME)

TITLE: _______________________________ D.O.B.________________ SSN ______________________

BY: ________________________________________ _________________________________________

(SIGNATURE) (PRINT NAME)

TITLE: _______________________________ D.O.B.________________ SSN ______________________

TRADE NAME: ____________________________________________________________________________________

WITNESS: _____________________________________________ DATE: __________________________________

• IF A CORPORATION, AT LEAST ONE CORPORATE OFFICER MUST SIGN APPLICATION.

• IF A PARTNERSHIP, TWO OR MORE PARTNERS MUST SIGN.
____________________________________________________________________________________________________
____________________________________________________________________________________________________
(FOR OFFICE USE ONLY) CREDIT TERMS APPROVED: ______________________

BY: _____________________________________ DATE: __________________________________________

SALESMAN ID# __________________________ WELCOME LETTER SENT: ________________________