credit application

B= &G Refrigeration Co. Inc. Credit Applicat= ion for a Business Account FAX TO (904) 620-9815
Business Contact Information<= /p>
P.O. Required:	Tax exempt (attach valid certificate if applica= ble):
Company name:
Phone:	Fax:	E-mail:
Registered company address:
City:	State:	ZIP Code:
Date business commenced:
Sole proprietorship:	Partnership:	Corporation:	Other:
owner and Credit Information<= /p>
Owned by:	Address:
City:	State:	ZIP Code:
How long at current address?<= /p>
Telephone:	Fax:	E-mail:
Bank name:
Bank address:	Phone:
City:	State:	ZIP Code:
Type of account:	Account number:
Business/trade references
Company name:
Address:<= /o:p>
City:	State:	ZIP Code:
Phone:	Fax:	E-mail:
Type of accoun= t:
Company name:
Address:<= /o:p>
City:	State:	ZIP Code:
Phone:	Fax:	E-mail:
Type of accoun= t:
Company name:
Address:<= /o:p>
City:	State:	ZIP Code:
Phone:	Fax:	E-mail:
Type of accoun= t:
Agreement
1. THE UNDERS= IGNED AGREES THAT THE TERMS OF SALE ARE NET 30 DAYS OF INVOICE AND BECOMES PAST= DUE IF NOT PAID BY THIS DATE, FURTHER, THAT A 1.5% SERVICE CHARGE (18% ANNUAL= ) WILL BE ADDED ON ANY PAST DUE PORTION. IN THE EVENT OF DEFAULT IN PAYMENT AND IF DEBT IS PLACED WITH ATTO= RNEY OR COLLECTION AGENCY APPOINTED BY B&G REFRIGERATION CO. INC. FOR COLLECTION, THE UNDERSIGNED AGREES TO PAY ALL COSTS OF COLLECTION, INCLUD= ING ALL ATTORNEY'S FEE, AGENCY'S FEE, OR BOTH IF APPLICABLE. THE UNDERSIGNED DOES HEREBY CERT= IFY THAT THE INFORMATION CONTAINED ABOVE IS ACCURATE. SHOULD LEGAL PROCESS BE NECESSAR= Y, THE UNDERSIGNED AGREES THE VENUE WILL BE IN DUVAL COUNTY, FLORIDA AND HEREBY WAVES THE RIGHT T= O JURY TRIAL. THE UNDERSIGNED AGRE= ES THAT ANY CHANGES IN OWNERSHIP OR OFFICERS OR FORM THAT THE BUSINESS OPERA= TES AS SHALL BE MADE KNOWN TO B&G REFRIGERATION CO. INC WITHIN 3 DAYS OF CHANGE. THIS NOTICE SHALL B= E IN WRITING AND MAILED TO B&G REFRIGERATION CO. INC. 3230 KLINE ROAD, JACKSONVILLE, F= L 32246 BY CERTIFIED MAIL. 2. THIS IS A GUARANTEE OF PAYMENT AND NOT OF COLLECTION. THE GUARANTOR AGREES THAT THE OBLIGATION OF THE GUARANTOR UNDER THIS GUARANTEE SHALL BE UNCONDITIONAL, = IRRESPECTIVE OF (1) THE INVALIDITY OR UNENFORCEABLITLY OF THE LIABILITIES OR ANY AGREE= MENT OR INSTRUMENT RELATING TO THE LIABILITIES OR ANY LAW AFFECTING THE LIABILITIES OR ANY OF THE RELATING DOCUMENTS (2) THE ABSENCE OF ANY ATTEM= PT TO COLLECT THE LIABILITIES FROM THE DEBTOR OR FROM ANY OTHER PERSON PRIMA= RILY OR SECONDARILY LIABLE WITH RESPECT TOT EH LIABILITIES OR OF ANY ATTEMPT TO REALIZE UPON ANY COLLATERAL FOR THE LIABILITIES, FOR THE OVLIGATIONS OF A= NY SUCH OTHER PERSON OR FOR THIS GUARANTEE; (3) ANY FAILURE BY B&G TO ACQUIRE, PERFECT OR MAINTAIN A SECURITY INTEREST IN OR TO PROTECT ANY COLLATERAL FOR THE LIABILITIES OR FOR ANY SUCH ABLIGATIONS: (4) ANY DEFEN= SE ARISING BY REASON OF ANY DISABILITY OR OTHER DEFENSE OF THE DEBTOR OR ANY OTHER PERSON LIABLE ON THE LIABILITIES (5) THE ACCEPTANCE OF ADDITIONAL PARTIES PRIMARILY OR SECONDARILY LIABLE ON THE LIABILITIES; (6) THE DISALLOWANCE OR AVOIDANCE OF ALL OR ANY PORTION OF B&G'S CLAIM(S) FOR REPAYMENT OF THE LIABILITIES OR OF ANY COLLATERAL FOR THE LIABILITIES; OR= (7) ANY OTHER CIRCUMSTANCE WHICH MIGHT OTHERWISE CONSTITUTE A DISCHARGE OR DEFENSE OF A GUARANTOR.=
Signatures
Signature: Date: &nbs= p; &= nbsp; &nbs= p; Title:	Signature: Date: &nbs= p; &= nbsp; Title:

B= &G Refrigeration Co. Inc.

Credit Applicat= ion for a Business Account