Credit Application

DELAWARE VALLEY CONCRETE CO., INC.
248 E. County Line Road
P.O. BOX 457
Hatboro, PA 19040
Phone: (215) 675-8900 Fax: (215) 443-8362

BUSINESS CONTACT INFORMATION

CREDIT INFORMATION

YesNo
YesNo
OwnRent
YesNo

LEGAL STATUS OF BUSINESS (Check 1) ARTICLES OF ORGANIZATION REQUIRED FOR LLCs

TITLE NAME ADDRESS PHONE NO.
PRESIDENT
VICE PRESIDENT
TREASURER
SECRETERY

BUSINESS/TRADE REFERENCES PREFERABLYQUARRIES, CONCRETE, LUMBER, BUILDING SUPPLY. NO EQUIP. COMPANIESPLEASE GIVE COMPLETE ADDRESSES AND PHONE NUMBERS

CUSTOMER AGREEMENT

The undersigned hereby makes application for credit and provides information contained herein, which is warranted to be true and correct, for the purpose of inducing Delaware Valley Concrete Co., Inc. to make periodic sales of goods and materials and provide services to in on credit. Delaware Valley Concrete Co., Inc is authorized to verify all information provided, and to run all necessary credit checks, including but not limited to credit bureau reports and reference verification. In consideration thereof it is agreed and understood that (1) the undersigned is an authorized agent of the applicant and is duly empowered to enter into and make binding agreements on its behalf; (2) all amounts charged under this account are payable in full within the terms o f sale established for the account; (3) all payments shall be made to Delaware Valley Concrete Co., Inc. P. O. Box 457, Hatboro, PA 19040; (4) on balance remaining unpaid for a period of thirty (30) days to pay 1 ½% service charge, such charge to be added to the balance of the account as reported in the monthly statement; (5) in event of default in the payment of any amount due, the balance of the account shall at the option of Delaware Valley Concrete Co., Inc. be due and payable immediately; (6) and if th is account is placed in the hands of an agency or attorney for collection or legal action, to pay any additional charge equal to 20% of the outstanding account balance to offset the cost of collection including agency, attorney fees, and court fees.

In the event a Notice of unpaid Balance (NUB) is filed, all parties agree to use an alternative dispute resolution mechanism to meet the arbitration requirements for filing of a NUB.

Applicant grants Delaware Valley Concrete Co., Inc. the option to acquire a S ecurity Interest for unpaid balances in which this application or copy thereof may be used as a Security Agreement.

The undersigned gives Delaware Valley Concrete Co., Inc. the right to charge any unpaid past due invoices against the below stated credit card. If such charges are made against your credit card and the charges are declined it would constitute obtaining products or services through fraud or theft. It is the customer’s responsibility to notify Delaware Valley Concrete Co., Inc. of any changes in credit card accounts and expiration dates.

Company’s non-enforcement of any terms and conditions of this CUSTOMER AGREEMENT at any point in time shall not constitute a waiver of company’s right to enforce any and all terms of this CUSTOMER AGREEMENT in the future.

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(SIGNATURE OF AUTHORIZED AGENT)
(NAME PRINTED)

PERSONAL GUARANTEE

I hereby guarantee payment to you for all goods that you may supply to the above application until I notify you in writing to cease the extension of such credit.

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