Account Application (part 2)

Business References:

Business:________________________ Business: _______________________
Address: ________________________ Address: ________________________
Address: ________________________ Address: ________________________
Phone: (___) ____________ Phone: (___) ____________
Account: _________________________ Account: _________________________

PLEASE READ CAREFULLY

Net due on the 25th of each month. 1.5% per month or 18% per annum will be added to the account with additional 1.5% added at the beginning of each month thereafter. In the event said amount is placed in the hands of an attorney for collection, the debtor is obligated to pay attorney's fees plus any legal expenses.

I hereby authorize the person whom this application is made, or any credit bureau or other investigative agency employed by such services, to investigate any references herein listed or statements or other data obtained from me or from any other person pertaining to my credit and financial responsibility.

I hereby personally guarantee this account. If for any reason the business for which the account is opened fails to meet its obligations, I will personally pay the account in full, including collection fees.

Signature: ________________________  Title: _______________  Date: _________

Print Full Name: _________________________

Office use only:

Approved by: ______________  Limit: ___________  Date: ___________

Be sure to attach a printed and signed Application Policy.

Please print both pages of this application. Fill it out completely. Be sure to include all addresses and account numbers. When done ...
Mail it to us at  Percy Rentals,  269 Week Hill Road, Stowe, VT 05672
Fax it to us at (802) 253-8520.

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