Credit Application

The undersigned company is applying for credit with Farley Ventures and agrees to abide by the standard terms and conditions of Farley Ventures printed. 

Purchase Order Numbers Required:
Tax Exempt:
Have you had credit with us before:

Trade References: 
Please list three (3) businesses and one (1) bank reference 

I represent that the above information is true and is given to induce Farley Ventures and/or strategic partners to extend credit to the applicant. My company and I authorize Farley Ventures and/or strategic partners to make such credit investigations as Farley Ventures and/or strategic partners see fit, including contacting the above trade references and banks and obtaining credit reports from the references named. My company and I authorize all trade references, banks, and credit reporting agencies to disclose to Farley Ventures and/or strategic partners all information concerning the financial and credit history of my company and myself. 

GENERAL TERMS AND CONDITIONS 
In consideration of Farley Ventures and/or strategic partners extending credit to applicant, applicant agrees to pay to Farley Ventures and/or strategic partners within ten (10) days from the date of invoice for all service calls and items shipped to or on behalf of applicant and to pay a finance computed at the rate of 1.5% per month, which is an annual percentage of eighteen percent (18%), applied to invoices not paid within ten (10) days from date of invoice. All payments should be made to the address shown on the invoice. Should it become necessary to place applicant’s account for collection, applicant agrees to pay all invoices, finance charges, legal and collection costs. The undersigned states and affirms he/she has read and understands the above agreement and is an officer of the company with authority to sign this application for credit. Applicant authorizes Farley Ventures and/or strategic partners to obtain credit and financial information concerning applicant at any time and from any source. Applicant represents and warrants that the information provided herein is true and correct.

Thanks for submitting!