Open Account

APPLICATION FOR CREDIT
WestAir Gases and Equipment, Inc.

Terms: Limit: Account #: E-comm log in: Password:

CREDIT DEPARTMENT P.O. BOX 131902, SAN DIEGO, CA. 92170 (619) 423-9912 * FAX (619) 239-0620 AR@WESTAIRGASES.COM
Thank you for your request for open credit. Please assist us by filling in all the information requested. When submitting an Application via fax, forward original Application to the Credit Department.
Company Information

Name

Street Address Line 2

Phone Fax Number

Email
DBA?

Yes No
Billing Address

Delivery Address

Street Address Line 2

City State

Zip
Delivery Address

Delivery Address

Street Address Line 2

City State

Zip
Contact Person

First Name Last Name
Kind of Business

Street Address Line 2

Resale Number Years Established

Federal Tax I.D.
Type Of Business

Corporation Partnership Sole Proprietor
If Corporation: Years Incorporated

Street Address Line 2

State

List All Partners
If Partnership:

Limited Limited Liability Co.
Purchase Information

Anticipated Monthly Purchases

Street Address Line 2

Property Management

Phone Number
P.O. Required?

Yes No
How would you like your invoice received?

Email Fax USPS
Email address:
example@example.com
Fax number:
Owner/ Office Information
Name of Owners/ Offices
Title
Home Address

Home Address

Street Address Line 2

City State

Zip
Would you like to have your payment on file?

Yes No
Credit References
Name
Acct #
Phone
Address

Address

Street Address Line 2

State

Zip
City
The above information is submitted solely for purposes of establishing or reviewing a commercial business account. The undersigned authorizes you to make such inquiries as are necessary to obtain credit information including obtaining copies of my consumer credit report, authorizing my bank, suppliers, and credit references to release information regarding my accounts.

A. Payment. Unless otherwise agreed upon in writing by Seller, all charges on account are due and payable no later than 30 days of billing date. Any account that becomes past due will be subject to a credit hold. No orders will be placed or processed until the account is brought current. B. Credit Suspension. Seller reserves the right to suspend any and all of Buyer's credit Privileges without notice in the event that payment is not made when due. Payment for future orders will need to be made in advance or via credit card. C. Buyer and Seller agree that the Superior Court of California, County of San Diego, will have exclusive jurisdiction over all other claims and controversies of any
nature between the parties to this agreement.

D. Buyer agrees to pay all costs including collection agency fees, costs, legal costs, and reasonable attorney's fees if it becomes necessary to enforce collection or file suit. E. Terms & Conditions. Acceptance of delivery of the merchandise shall be deemed agreement herewith by Buyer. No modifications of these terms shall bind Seller unless in writing signed by Seller. F. Liens and Setoffs. In addition to all Liens upon, and rights of setoff against monies, securities, and other property of, Guarantors now to hereafter in the possession of Obligee, whether held in a general or special account, or for safe keeping or otherwise; and every such lien and right of setoff may be exercised without demand upon or notice to Guarantors. G. Authorized Signature: The person signing below represents and warrants that he/she has the authority to sign for and bind Buyer.
I / We have read the terms and conditions above and fully agree to comply by them.
Owner/Officer Signature
Clear
Print Name & Title
Date

Month Day Year
Date
(Referred to in this document as Creditor)
PERSONAL GUARANTEE
For valuable consideration the Guarantor, jointly and severally, and unconditionally guarantees and promises to pay Creditor on demand all advances, debts, obligations and liabilities (“indebtedness”) of
(“Debtor”) to
Creditor. Guarantor authorizes the Creditor to obtain consumer credit reports solely for the purpose of considering the establishment or review of a commercial business account. Liability of Guarantor shall be open and continuous for so long as this Guarantee is in force. Guarantor intends to guarantee at all times the performance and payment of all indebtedness of Debtor to Creditor. Payments made upon Debtor indebtedness will not discharge or diminish the liability of Guarantor for any and all remaining and succeeding indebtedness of Debtor to Creditor. Any married person who signs this Guaranty as the Guarantor hereby expressly agrees that recourse under this agreement may be had against both his or her separate property and community property, whether now owned or hereafter acquitted.

This is a continuing guaranty and shall continue in effect until such time as Guarantor notifies Creditor in writing at its principal place of business to terminate the same. Upon notification, Guarantor shall be released from any further liability. Guarantor shall remain liable for all indebtedness incurred prior to receipt of written notification.

The Guarantor expressly waives notice, notice of default, diligence, resort to security any obligation to proceed first against Debtor, of any other Guarantor, and joinder of Debtor, or other Guarantors and authorizes Creditor, to deal with Debtor in any manner in which Creditor sees fit in connection with any indebtedness of Debtor now, or hereafter created without any further consent or authorization from Guarantor being necessary, including, without limitation, modification, amendment and extension of the indebtedness or security and notice thereof.

This Guaranty shall not affect or invalidate any such other guarantees. The Liability of Guarantor will be the Aggregate Liability or Guarantor under the terms of this Guaranty and any such other unterminated guarantees.
Guarantor Signature

Clear
Date

Month Day Year
Date
Printed Name
Phone Number
Resident Adress

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
I / We have read the terms and conditions above and fully agree to comply by them for the purpose of this credit application. *
Should be Empty:

APPLICATION FOR CREDIT

Owner/ Office Information

Credit References

Owner/Officer Signature

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