Credit application Form

CREDIT REFERENCE 1

CREDIT REFERENCE 2

CREDIT REFERENCE 3

In applying for credit with Vern Lewis Welding Supply, Inc., it is agreed that all purchases are the obligation of the undersigned, I hereby authorize Vern Lewis Welding Supply, Inc. or its designees to receive information from or concerning the above references and to investigate the references and other information furnished by me or by any other person pertaining to my credit worthiness. I understand that purchases of all products and services are payable in full no later than thirty (30) days following date of purchase. I agree to pay Vern Lewis Welding Supply, Inc. on or before due date, and if payment is not received when due, I agree to pay all costs and expenses incurred in the collection of any indebtedness, including reasonable attorney’s fees together with all cost and expenses incurred in collectng this amount. Interest will be payable at the rate of 2% per month (24% per year) for the amount of day’s delinquent over (30) days from date of invoice. The undersigned states he/she is authorized to make purchases in.

The undersigned Guarantor(s) hereby unconditionally guarantee payment to Vern Lewis Welding Supply, Inc. (“Vern Lewis”) of all accounts, debts or other liabilities, both present and future as owed to Vern Lewis by the above named Debtor Corporation. This is a continuing guarantee and shall remain in full force and effect until the undersigned delivers to Vern Lewis written notive re voking this guarantee for any indebtedness incurred subsequent to such delivery. Such revocation shall not affect any prior obligations. This guarantee is executed in consideration of Vern Lewis extending credit to the debtor corporation, and for other good and valuable consideration.

Vern Lewis may grant credit to the debtor corporation from time to time without authorization from or notice to Guarantors. With or without notice to Guarantor, Creditor may alter compromise, accelerate, extend, or change the time or manner of payment of any indebtedness.

By signing this guarantee the undersigned acknowledges that his/her obligations hereunder shall not be discharged until full payment of the original obligations of the debtor corporation. This guarantee is specifically intended to include, but is not limited to, a personal guarantee for any late payment charges, reasonable attorney’s fees, and court costs which may be incurred in the event that the above-named debtor corporation does not satisfy its obligation to Vern Lewis.