Application For Credit

LINE OF CREDIT REQUESTED:____________________

Name of Firm: Phone: (_____)

Street Address:

Billing Address:

Ownership type (check one) q Sole Proprietorship q Partnership q Joint Venture q Corporation

Federal Tax ID#: Seller’s Permit #:

Name, Address and Social Security Number of ALL Corporate Officers, Owners, Principals, etc.

1)

2)

3)

4)

Date Business was established: Years at this location:

Previous Location: How long?

BANK REFERENCE: q Checking q Loan q Savings

Name:

Address:

Account #:

Phone: (_____)

BANK REFERENCE: q Checking q Loan q Savings

Name:

Address:

Account #:

Phone: (_____)

BANK REFERENCE: q Checking q Loan q Savings

Name:

Address:

Account #:

Phone: (_____)
CREDIT REFERENCES: Names of firms you have bought from on an open account

Name: Phone: (_____)

Address: Fax: (_____)

Name: Phone: (_____)

Address: Fax: (_____)

Name: Phone: (_____)

Address: Fax: (_____)

TERMS OF ACCOUNT: NET 30 DAYS.

If approved, applicant agrees to pay upon demand at any time to Resendiz Brothers Protea Growers LLC, the full amount of said indebtedness, including finance charges at 2% per month (24% per annum) or such lesser amount as Resendiz Brothers Protea Growers LLC may charge, and attorney’s fees, and cost incurred in connection with the collection of the account, whether or not suit is filed.

GOVERNING LAW: This agreement shall be governed by the State of California. The parties agree that jurisdiction and venue for any disputes arising from the subject matter of this contract shall be in San Diego County. Should any aspect of this agreement be unenforceable, then all other aspects shall remain valid and binding and the provisions hereof are severable.

NO OBLIGATION TO PROVIDE GOODS OR SERVICES: Applicant agrees that Resendiz Brothers Protea Growers LLC has the absolute right in its sole discretion to cease providing goods or services to the applicant at any time. Applicant agrees that Resendiz Brothers Protea Growers LLC is not liable for any damages suffered as a result of the cessation of such services or the non-delivery of such goods.

Applicant authorizes its bank(s) and creditors to release credit information to Resendiz Brothers Protea Growers LLC. The undersigned fully understands and agrees to the above terms and conditions.

Principal or Officer’s Signature: Date:

Please print name from above: Title:

DESCRIPTION OF PROPERTY TO BE PURCHASED: Cut Decorative Greens & Flowers

Signature: Date:

At By and Title

Phone: (_____) Address: