Accounts & Support :: Credit Application

Credit Application

BTI Inc. (Better Tools For Industry)

Application for Credit

FAX to (619) 562-0592

Email Address______________________________________

Business Name_______________________________________# Years______________

Billing Address__________________________________________Zip________-_____

Telephone_____________________________FAX________ ____________________

Shipping Address__________________________________________________________

__________________________________________________________________________

Ownership: Ind._____Parnership____Corp_____State Incorp___________________

Tax ID #______________________Type of business____________________________

Authorized Buyers:________________________________________________________

__________________________________________________________________________

Note: It is your responsibility to keep this list current

Is a Purchase Order required?_________

Your Bank_________________________________________# Years_________________

Account #_________________________________________________________________

Fax # of Bank Credit Department___________________________________________

The above is required as most banks will not rate via telephone.

Terms:

Payments are due In Our Office within 30 days of Date of Invoice.

Accounts not kept current will be placed on COD without notice.

$25.00 charge for checks returned by your bank for any reason. In

consideration of extension of credit I/we agree to pay a 5% late fee plus

18% per annum on any amount not received within 25 days of date of

the invoice.

I agree to pay reasonable attorney's fees if it becomes necessary to

retain legal counsel in order to aid or enforce collection of any and all

sums due and owing at the time that such a request to legal counsel is

made.

(If applicable - As an individual applicant or partner in the applicant

business I, personally guarantee the payment for any goods or services

purchased by the applicant from BTI Inc. under the terms of this

agreement.)

For purposes of obtaining credit from BTI Inc. I authorize my

bank(s) listed above to release rating information to BTI Inc..

Date_________________Signature_________________________________

Application must be signed by Corporate Officer, Owner or partner.

Print Name___________________________Title_____________________

Page 2

BTI Inc. Application for Credit

Your Business Name_____________________________________________________

Trade Suppliers

1.Name__________________________________FAX #__________________________

Address_______________________________________________________________