Beamon & Johnson, Inc.

149 S. Saratoga St., Suffolk, VA 23434164 S. Saratoga St., Suffolk, VA 23434

2305 Pruden Blvd., Suffolk, VA 23434 2001 S. Military Hwy.Chesapeake, VA 23320

62 E. Windsor Blvd., Windsor, VA 23487720 N. Broad St., Edenton, NC27932

1332-A W. Ehringhaus St., Elizabeth City, NC 27909 734 E. Memorial Drive Ahoskie, NC 27910

021 NC 32 North Hwy., Sunbury, NC 279795780 Arrowhead Drive, Virginia Beach, VA 23462

1211 Armory Dr., Franklin, VA 238516451 E. Va. Beach Blvd, Norfolk, VA 23502

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REMIT TO:

P O Box 1188, Suffolk, VA 23439 757-539-2361 fax 757-539-2966

Credit Application and Agreement for Corporation/Business

Corporate Name______Date of Incorporation______

Trade Name______Federal I.D.#______

Address of Principal Place of Business:

Street City State/zip

Business Phone # ______Fax#______

Name of Office

Registered Agent______Address______

Name of President ______Vice President______

SS#______SS#______

Is corporation owned or controlled by another corporation Yes( ) No ( )

If so, who? ______Address: ______

Is Purchase Order Required? Yes ( ) No ( )

Credit References: (Please do not use banks, credit unions or credit card companies)

Name/Address Account # Phone/Fax#

______

______

______

Persons authorized to charge for

Company: ______

Please read and sign the Beamon & Johnson, Inc., credit terms below:

To our customers: This will act as official notification of the credit terms offered to our customers:

  1. When finance charge may be imposed – all charge account customers are required to pay the monthly balance in full each month. When an account has an outstanding balance, i.e. when the account is not paid in full before the statement closing date a finance charge will be imposed and will be reflected on the statement.
  1. Amount of finance charge – the amount of finance charge for each month is 2% of the outstanding balance.
  1. Payment terms – the entire sum charged is due and payable by the last day of the month in which the statement is printed. Statements are printed on the first of each month. Once an account has a 90 day past due balance, the account will be put on a C.O.D. basis. Unless satisfactory payment arrangements are made the account may be referred to our attorney for collection according the terms outlined below.
  1. Attorney’s fees – in the event that it becomes necessary to refer a delinquent account to our attorney for collection, you will be charged, in addition to the above, a fee of 33 1/3% of the delinquent account referred or any and all legal fees as actual reimbursement for legal expenses.
  1. Return check policy – your account will be debited electronically for the face amount, return check fee and return deposit item fee if returned unpaid.
  1. Personal Guarantee – I personally guarantee the payment of all amounts due by said corporation in accordance with the above terms.
  1. I authorize the release of standard credit information from the above named companies for purpose of making credit decisions.

I have read and understand the above credit terms and by signing below I agree to abide by these terms.

Date: ______Signature: ______

Printed Name and Title: ______