Credit Application Step 1 of 5 20% Application Date MM slash DD slash YYYY Customer Trade NameCustomer Official NameBusiness Structure Corporation LLC Partnership Proprietorship Type of Business Retail Restaurant Other Euro USA Sales Rep NameDelivery/Shipping Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Delivery/Shipping PhoneDelivery/Shipping FaxDelivery/Shipping Email Billing Address (If different than shipping) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing PhoneBilling FaxReceiving Hours OfficersOfficer 1 NameOfficer 1 TitleOfficer 1 Email Officer 1 PhoneOfficer 2 NameOfficer 2 TitleOfficer 2 Email Officer 2 PhoneAccounts PayableAP 1 NameAP 1 TitleAP 1 Email AP 1 PhoneAP 2 NameAP 2 TitleAP 2 Email AP 2 PhoneCustomer and all officers agree that this application gives Euro USA full authority to run all necessary credit checks with all credit agencies and docket checks at Euro USA’s expense. Trade ReferencesTrade Reference Customer Trade NameTrade Reference Customer Official NameReference 1Trade Reference 1 NameTrade Reference 1 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Trade Reference 1 PhoneTrade Reference 1 FaxTrade Reference 1 Contact PersonTrade Reference 2Trade Reference 2 NameTrade Reference 2 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Trade Reference 2 PhoneTrade Reference 2 FaxTrade Reference 2 Contact PersonTrade Reference 3Trade Reference 3 NameTrade Reference 3 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Trade Reference 3 PhoneTrade Reference 3 FaxTrade Reference 3 Contact PersonTrade Reference 4Trade Reference 4 NameTrade Reference 4 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Trade Reference 4 PhoneTrade Reference 4 FaxTrade Reference 4 Contact PersonBank ReferencesBank Reference Customer Trade NameBank Reference Customer Official NameBank Reference 1Bank Reference 1 NameBank Reference 1 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Bank Reference 1 PhoneBank Reference 1 FaxBank Reference 1 Contact PersonBank Reference 2Bank Reference 2 NameBank Reference 2 Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Bank Reference 2 PhoneBank Reference 2 FaxBank Reference 2 Contact PersonIndividual Personal GuaranteeFOR VALUE RECEIVED, and in consideration of, and as an inducement to, Euro USA, Inc. (“Vendor”) to deliver product to and to issue credit to the “Customer” (listed below), the undersigned(“Guarantor”), hereby guarantees to the Vendor, its successors and assigns, the full performance and observance of all the covenants, conditions and agreements therein provided to be performed and observed by the Customer, its successors and assigns, and expressly agrees that the validity of this Guaranty and the obligations of Guarantor hereunder shall in no wise be terminated, affected or impaired by reason of the assertion by the Vendor against the Customer of any of the rights or remedies reserved to the Vendor, or by reason of notice of default, the waiver by the Vendor of, or the failure of the Vendor to enforce, any of the terms, covenants and conditions of any purchase order, credit agreement or invoice with the Customer, or the granting of any indulgence or extension of time to the Customer, all of which may be given or done without notice to Guarantor. . Guarantor further covenants and agrees that this Guaranty shall remain and continue in full force and effect as to any amendment, modification, renewal or extension of any such agreements, to all of which Guarantor hereby consents in advance. Guarantor shall be liable under this Guaranty notwithstanding the assignment of any such agreements or any other transfer, by operation of law or otherwise. The liability of the Guarantor hereby shall in no way be affected by (a) the release or discharge of the Customer in any creditors’ receivership, bankruptcy or other proceedings, (b) the impairment or modification of the liability of the Customer or the estate of the Customer in bankruptcy, or of any remedy for the enforcement of the Customer’s contractual obligations to Vendor, resulting from the operation of any present or future provision of the Federal Bankruptcy Code or other statute or from the decision in any court, (c) the rejection or disaffirmance of any agreement in any such proceedings, (d) the assignment or transfer of any agreement by the Vendor, (e) any disability or other defense of the Customer, or (f) the cessation from any cause whatsoever of the liability of the Customer. This instrument may not be changed, modified, discharged or terminated orally or in any manner other than by an agreement in writing signed by the Guarantor and the Vendor.Date MM slash DD slash YYYY Customer:By Signature (Required and Must be Legible)*By Name: Credit AgreementThe “Customer” listed on page 1 of the attached credit application and Euro‐USA agree to the following terms for all product delivered and all credit extended as of the date on the page 1 of the application. 1. This agreement (this “Agreement”) shall not be in operation or effect until executed by the properly authorized agent of Euro‐USA. Customer agrees that Customer shall check all product at the time of delivery to make sure it conforms to all invoice and purchase order requirements, and that no returns or credits are permitted after delivery person has departed, unless specifically permitted by a duly authorized agent of Euro‐USA in writing. Customer acknowledges and agrees that Euro‐USA has not ratified and is not responsible for any manufacturer’s warranties. 2. Unless otherwise specified in a written agreement signed by Euro‐USA, all amounts dues set forth in the invoice shall be paid in full within 15 days after delivery. 3. Any amounts not paid in full as set forth herein shall carry an interest rate of 20% per annum, compounded monthly until paid in full. 4. All returned, NSF or stop‐payment checks shall be assessed a $40.00 processing fee, plus all fees assessed against Euro‐USA by all financial entities. All returned, NSF or stop‐payment checks shall be deemed to have been issued by Customer at the time of delivery of all product, and Customer agrees that Euro‐USA does not have to issue any formal demand or do any other formal action in order to assert all civil and criminal legal rights and remedies against the Customer for returned, NSF or stop‐payment checks. Customer agrees to pay all costs of collection, including attourneys’ fees and costs as additional sums owed in connection with this transaction in the event collection action becomes necessary. 5. Customer agrees that this is a commercial contract, and that Customer has read and completely understands this Agreement and has voluntarily executed this Agreement. Customer has had, or has waived its right to have, Customer’s own separate counsel review this Agreement, and agrees not to attempt to assert any consumer protection arguments, misunderstanding arguments, commercially reasonable arguments, mistake arguments, and/or direct or indirect duress arguments in any enforcement actions or litigation. 6. Customer agrees that Ohio law controls this Agreement and that any action involving a breach of this Agreement shall be brought in the Cuyahoga County Common Pleas Court, and each party hereto expressly agrees and consents to the jurisdiction of Ohio courts and the venue of Cuyahoga County. 7. This Agreement may not be amended except by a written instrument signed by all parties hereto. 8. This Agreement may be executed in multiple counterparts, each of which shall constitute an original. Each of the parties expressly acknowledges and agrees that a facsimile copy of any party’s execution of this Agreement shall be binding upon said party as if executed in person. 9. Customer acknowledges and agrees that no provision of this Agreement shall be interpreted or construed against any party by any court or other governmental or judicial authority by reason of such party having or being deemed to have drafted, structured or dictated such provision.Signature (Required and Must be Legible)*Customer By:Customer Its: ACH Debit Authorization FormI (we) hereby authorize Euro USA Inc. (THE COMPANY) to initiate entries to my (our) checking/savings accounts at the financial institution listed below (THE FINANCIAL INSTITUTION), and if necessary, initiate adjustments for any transactions credited/debited in error. The authority will remain in effect until THE COMPANY is notified by me (us) in writing to cancel in such time as to afford THE COMPANY and THE FINANCIAL INSTITUTION a reasonable opportunity to act on it.Customer/Account NameName of Financial InstitutionAddress of Financial Institution Branch Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Signature (Required and Must be Legible)*Signed Date MM slash DD slash YYYY Name First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Set AmountMaximum AmountFinancial Institution Routing NumberChecking/Savings Account NumberCAPTCHACommentsThis field is for validation purposes and should be left unchanged.
