Credit Application

& Account Agreement

*Name of Property:

*MS SalesPeople:

*Address:

*City:

*State:

*Zip:

*Phone:

Fax:

*# of Units:

* P.O Required? Yes No

*Tax Exempt Yes No

(If Yes, Include Tax Exempt Form)

*SSN or Fed ID:

*Type of Enity: Individual/Sole Owner Corporation Partnership Other

Website:

People in your Organization

*Name:

*Cell:

*Email:

Role:

Name:

Cell:

Email:

Role:

Name:

Cell:

Email:

Role:

Owner Information

*Name:

Address:

City:

State:

Zip:

Phone:

Fax:

Email:

Management Company

*Name:

*Address:

*City:

*State:

*Zip:

*Phone:

Fax:

*Email:

*Owner or President :

*Year in Business:

Bank Reference 1

*Name:

*Bank Officer:

*Account Number:

*Phone:

Bank Reference 2

Name:

Bank Officer:

Account Number:

Phone:

Trade Reference 1

*Name:

*Phone:

*Email:

Trade Reference 2

*Name:

*Phone:

*Email:

Trade Reference 3

Name:

Phone:

Email:

Trade Reference 4

Name:

Phone:

Email:

Terms

The undersigned, whether one or more, acknowledges and agrees that all accounts shall be due in full thirty (30) days from the date of the invoice from Maintenance Supply Solutions which is located at 4225 Gannon Lane, Dallas, TX 75237. A $35.00 fee will be charged for returned checks. A Convenience Charge of 3.5% will be added for payment by credit card. In the event that the account is referred to an attorney or collection agency, the undersigned agrees to pay all collection fees, attorney fees, court costs, and all applicable fees incurred to secure payment. Maintenance Supply Solutions may verify the information supplied on this application and receive and exchange credit information both now and in the future. Applicant agrees to immediately notify Maintenance Supply Solutions on any change in status such as but not limited to: name, ownership, management company, authorized purchasers, etc. This agreement is governed and controlled by the law of the State of Texas. Any litigation will be heard in courts located in the County of Dallas, State of Texas, without regard to conflicts that may arise as to the proper venue of litigations.

Agent

The undersigned is fully authorized by the Applicant Company to make this agreement in order to obtain credit with Maintenance Supply Solutions and verifies that the information is true, correct and complete. The undersigned also verifies that Maintenance Supply Solutions may rely on the information provided above until a written notice of the change is received by MSS .

Signature:

Date:

Print Name:

Title:

Guarantee

In consideration of credit being extended to the above-named applicant company, I, as an Agent of this company, commit this company to pay all indebtedness it incurs. The company shall pay Maintenance Supply Solutions when an amount is due and upon demand the full amount of all existing and future indebtedness owed by the company, with applicable interest, expenses of collection and reasonable attorney’s fees incurred by reason of applicant’s default. The undersigned Agent acknowledges that overdue indebtedness should incur interest at the lesser of 15% per annum or the highest rate allowed by law. This Guarantee is continuing and shall continue to apply to all indebtedness which applicant may hereafter incur, renew, or extend in whole or in part, with Maintenance Supply Solutions or their successors, all without notice to the undersigned Agent. The undersigned Agent hereby waives notice of acceptance of the Guarantee and notice of orders, sales, amounts, and deliveries to the Applicant Company.

Signature:

Date:

Print Name:

Title:

Call MSS Customer Service: 972-857-6987

Your Source for Maintenance & Replacement Supplies

Credit Application

& Account Agreement

People in your Organization

Owner Information

Management Company

Bank Reference 1

Bank Reference 2

Trade Reference 1

Trade Reference 2

Trade Reference 3

Trade Reference 4

Terms

Agent

Guarantee

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