Application for Credit with Product Recovery Management, Inc.

Business Information

Principals (Owners, Officers, Stockholders)

Product Recovery Management, Inc reserves the right to require personal guarantees before credit is issued.

Bank Information

Terms and Authorization

The undersigned hereby authorizes Product Recovery Management, Inc., to conduct an investigation of applicant's credit history through credit reporting agencies of its choice, references given, or other sources that it considers desirable, with the understanding that its decision to grant or deny credit may be based in whole or in part on information obtained in the investigation. TERMS OF PAYMENT: Customer agrees to pay in full Product Recovery Management, Inc., within 30 days of receipt of invoice or within a specified time period if agreed upon mutually in writing. Payment shall not be based upon customer receiving reimbursement from the state or other sources unless otherwise mutually agreed upon in writing. Invoices not paid by the due date on the invoice will be assessed a service charge of 1.5000% monthly on all past due invoices. In the event it should be necessary for Product Recovery Management, Inc.. to resort to legal action to collect balances due, Customer agrees to pay all court costs and reasonable attorney fees expended by Product Recovery Management, Inc. in such action. Parties agrees that jurisdiction for any disputes between parties shall be North Carolina State Court, Durham County, North Carolina.

Applicant agrees and acknowledges that, in the event credit is granted and an account opened, any and all purchases are subject to and conditioned upon Customer's full acceptance of Product Recovery Management, Inc. Terms of Payment as stated above.