Business Terms Application

BUSINESS TERMS APPLICATION

WHEREAS, Applicant Name: desires to establish commercial credit and service terms with Provider Name: ; and

WHEREAS, Applicant represents that the information supplied in this Business Terms Application is true, accurate, and complete as of Effective Date: , and authorizes Provider to verify credit, banking, and trade references as necessary to evaluate requested terms; and

WHEREAS, Provider is willing to consider granting commercial terms subject to Provider's credit approval, the representations and warranties in this Application, and the terms set forth herein.

Applicant Information

Sole Proprietor   Partnership   LLC   Corporation   Other:

Trade References

Reference 1

Reference 2

Reference 3

Scope of Work

Describe the goods or services for which Applicant seeks terms. Include typical order sizes, anticipated monthly volume, and any special service requirements.

Payment Terms

Requested Standard Credit Terms:

Late Payment Fee: In the event of late payment, Applicant agrees to pay interest on past due amounts at the lesser of the contractual late fee set forth below or the maximum rate permitted by applicable law.

Term and Termination

Term Commencement Date: . Term End Date (if applicable): .

Either party may terminate this business arrangement for material breach that is not cured within Notice Period: days after written notice. Provider may suspend credit or require immediate payment in full upon occurrence of insolvency, assignment for the benefit of creditors, or similar financial distress.

Confidentiality

Applicant and Provider acknowledge that in the course of their dealings each may disclose Confidential Information. Confidential Information includes non-public business, financial, pricing, customer, and technical information disclosed in written, oral, or electronic form. Each party shall (a) use Confidential Information solely for the purpose of evaluating and performing obligations under any agreed terms, (b) restrict disclosure to employees and agents with a need to know, and (c) protect Confidential Information with at least the same degree of care used to protect its own confidential materials but not less than reasonable care.

Confidentiality Term (years): . This obligation does not apply to information that is or becomes publicly available other than by breach of this provision or is required to be disclosed by law or court order, provided the disclosing party gives prompt notice and cooperates in any effort to limit disclosure.

Governing Law

This Application and any resulting agreement shall be governed by and construed in accordance with the laws of the jurisdiction named below, without regard to conflict of law principles.

Representations, Warranties and Acknowledgments

Applicant certifies that all information provided in this Application is true and complete and that Applicant has authority to execute this Application. Applicant warrants that it is not presently subject to any pending litigation or judgment that would materially impair its ability to perform payment obligations, except as disclosed herein:

Entire Agreement

This Business Terms Application, together with any subsequent written agreement executed by Applicant and Provider, constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes all prior negotiations, proposals, and communications, whether written or oral. Any amendment must be in writing and signed by authorized representatives of both parties.

Authorization

By signing below, Applicant authorizes Provider to contact the trade references and other parties listed in this Application for the purpose of evaluating creditworthiness and agrees to be bound by the terms set forth herein if credit is extended.

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