Business New Account Form

BUSINESS NEW ACCOUNT FORM

This Business New Account Form serves as both an application for account establishment and a binding agreement between the parties identified below. Completion and execution of this form obligate the Applicant to the Payment Terms and other contractual provisions set forth herein.

WHEREAS

WHEREAS, Applicant Name: (the "Applicant") seeks to establish a business account with Company Name: (the "Company") for the provision of goods and/or services described below;

WHEREAS, the parties intend to set forth the terms under which the Company will provide services and the Applicant will accept and pay for those services, including credit terms, confidentiality, and governing law;

NOW, THEREFORE, in consideration of the mutual promises contained herein, the parties agree as follows.

APPLICANT BUSINESS INFORMATION

PRIMARY CONTACT

SERVICES / ACCOUNT REQUEST

Requested Services:

PAYMENT TERMS

Initial Deposit Amount: $

Late Payment Fee: or $

Applicant agrees to pay all invoiced amounts in accordance with the Payment Schedule. Unpaid balances shall accrue the stated Late Payment Fee and the Applicant is responsible for reasonable collection costs, including attorneys' fees and court costs, to the extent permitted by law.

TERM AND TERMINATION

Effective Date: . Term: This Agreement shall continue until unless earlier terminated in accordance with this Section.

Either party may terminate this Agreement for convenience upon days' prior written notice to the other party. Termination shall not relieve Applicant of obligations to pay for goods or services provided prior to termination.

CONFIDENTIALITY

Each party (the "Receiving Party") shall maintain in strict confidence all non-public business, technical, financial, and customer information disclosed by the other party (the "Disclosing Party") that is designated as confidential or that reasonably should be understood to be confidential given the nature of the information and the circumstances of disclosure ("Confidential Information"). The Receiving Party shall not disclose Confidential Information to any third party except to its employees, agents, or professional advisors who have a need to know, and shall protect such information using the same degree of care it uses to protect its own confidential information, but in no event less than reasonable care.

Confidentiality obligations shall survive termination of this Agreement for a period of years, except for Confidential Information that constitutes a trade secret, which shall remain protected for as long as it qualifies as a trade secret under applicable law.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to its conflict of law rules. Venue for any litigation arising under this Agreement shall be in the state or federal courts located within that state, and the parties hereby submit to the jurisdiction of those courts.

REPRESENTATIONS; ENTIRE AGREEMENT

Applicant represents and warrants that all information provided in this Application is true, complete, and accurate as of the date of signature. Applicant authorizes the Company to investigate Applicant's creditworthiness and to obtain and exchange references and financial information as necessary to evaluate credit applications.

This Agreement, together with any schedules and attachments executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, and communications, whether written or oral. Any amendment or modification of this Agreement must be in writing and signed by authorized representatives of both parties.

ADDITIONAL ACCOUNT DETAILS

CERTIFICATION

By signing below, Applicant certifies that it is authorized to enter into this Agreement, that the information provided is true and complete, and that Applicant will comply with the terms set forth herein. Applicant acknowledges that the Company may rely upon the representations made in this Application in establishing and maintaining the account.

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