Company Name
Primary Owner
Phone
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E-Mail
L.E. Weed & Son LLC.                 Business Account Credit Application
Registered Company Address
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Zip Code
Date Business Commenced
Bank Name
Bank Address
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Zip Code
Phone
Type of Account
Account Number
1st Company Name
Address
City
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Type of Account
2nd Company Name
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3 rd Company Name
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Mail To 187 South Main St. Newport, NH 03773
Fax 603 865 9837
                                                                                    AGREEMENT

I hereby certify that all statements accompanying and contained in this application are true and made for the purpose of obtaining credit/and in consideration of L.E. Weed&Son llc. selling to me or my agent I agree to the following terms:
1. The undersigned is responsible to pay the account in full by 30 days from date of invoice.
2. To pay service charges for late payment computed at an annual percentage rate of 18% (1 ½ % per month)
3. If this account is placed for collection, I agree to pay all reasonable charges for collection including attorney’s fees.
4. The undersigned authorize any credit investigation needed for action on this credit application and hereby indemnify the above company from any liability resulting from their credit survey. It is also acknowledged and agreed that accounts receivable information may be reported by the company to various consumer and commercial credit agencies.

Signature Title:                                                                                                                  Date:

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