Business Info Application

BUSINESS INFORMATION APPLICATION

RECITALS

WHEREAS, Applicant Name: (the "Applicant") seeks to provide current business information to the Recipient for purposes of vendor qualification, account setup, or a commercial relationship; and

WHEREAS, Recipient Name: (the "Recipient") requires accurate business information and applicant representations as a condition of establishing the relationship and performing related services.

NOW, THEREFORE, Applicant submits the following information and agrees to the terms, certifications, and contractual provisions contained in this Business Information Application.

BUSINESS IDENTIFICATION

ENTITY & OPERATIONS

Entity Type: Corporation LLC Partnership Sole Proprietorship Other

FINANCIAL & TRADE REFERENCES

REQUIRED DOCUMENTS (attach copies)

Articles of Incorporation / Organization
Operating Agreement / Partnership Agreement
Business License
Voided Check or Bank Letter
Recent Financial Statements

SCOPE OF WORK / SERVICES

Describe the nature of services, goods, or engagement for which this application is submitted. Specify deliverables, milestones, or limitations.

PAYMENT TERMS

Payment Amount (if applicable):

Late Payment Fee or Interest:

TERM AND TERMINATION

Commencement Date:    Termination Date (if fixed):

Notice Period for Termination (number of days):

Either party may terminate for material breach that is not cured within the notice period or for insolvency, bankruptcy, or cessation of business operations. Termination does not relieve either party of obligations accrued prior to termination.

CONFIDENTIALITY

"Confidential Information" means nonpublic information disclosed by one party to the other relating to business operations, financials, trade secrets, technical data, customer lists, pricing, or other proprietary matters. The receiving party shall: (a) protect Confidential Information with at least the same degree of care it uses to protect its own confidential information but no less than reasonable care; (b) use Confidential Information solely to evaluate or perform the permitted business purpose described in this application; and (c) not disclose Confidential Information to third parties except to its employees, agents, or advisors on a need-to-know basis who are bound by confidentiality obligations no less restrictive than those herein.

Confidential Information does not include information that: (i) is or becomes publicly available through no breach by the receiving party; (ii) was rightfully in receiving party's possession prior to disclosure; (iii) is independently developed without use of the disclosing party's Confidential Information; or (iv) is required to be disclosed by law or valid legal process, provided the receiving party gives prompt notice to permit the disclosing party to seek protective measures.

GOVERNING LAW & JURISDICTION

This Application and any resulting contractual relationship shall be governed by and construed in accordance with the laws of the State of without regard to conflict-of-law principles. The parties submit to the exclusive jurisdiction of the state and federal courts located in that State for resolution of disputes.

ENTIRE AGREEMENT; CERTIFICATION

This Business Information Application, together with any executed scopes, schedules, and attachments, constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes all prior or contemporaneous agreements, representations, and understandings, whether written or oral. No amendment or waiver is effective unless in writing and signed by authorized representatives of both parties.

By signing below, Applicant certifies under penalty of perjury that the information provided in this Application is true, complete, and correct to the best of Applicant's knowledge. Applicant authorizes Recipient to verify any information and to obtain consumer or business credit reports, references, and other verifications as reasonably necessary to evaluate the Applicant's qualifications. Applicant further agrees to promptly notify Recipient in writing of any material change in the information supplied.

Acceptance of this Application by Recipient (whether by signature below or by action consistent with acceptance) does not constitute a waiver of Recipient's right to obtain additional documentation, references, or assurances prior to commencing performance.

ADDITIONAL INFORMATION / NOTES

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