BrownCor is herewith submitted for the purpose of opening
an account. By submitting this form, I hereby certify all information
to be true and accurate. All information provided will be used by
BrownCor employees to determine
credit worthiness and/or effect collections. Applicant agrees to pay
any collection fees incurred to collect the balances owed including
reasonable attorney's fees. BrownCor
reserves the right to assess an interest charge of 1.5% per
month (18% annually) on all invoices over 30 days old.
Signature
Authorizing Credit Verification and Processing for Credit Approval
Sign
the
authorization line below and fax back this completed form
for Credit Approval. Time is of the essence in returning the faxed
signature form and Credit will not be issued without receipt
of
authorized signature.
Principle or Authorized
Signature (Company owner/principle will be held liable for all
purchases regardless of party signing credit application, and
balances owed are non-transferrable and non-assignable to other
parties for any reason.)
Signed________________________________________________________________________Date________________________
Fax
Signed and Completed Form to us Toll Free: 1-800-343-9228
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