Applicant's signature attests financial responsibility of applicant's company, in addition to company’s ability and willingness to pay for material supplied according to
our credit terms which are 1% 10 net in 30 days. Bertelkamp Automation, Inc. (herein referred to as Bertelkamp) reserves the right to charge interest for invoices not
paid according to these terms at the rate of 1 1/2% per month on the unpaid balance. Bertelkamp also reserves the right to limit or terminate credit if account is not paid
according to these terms and conditions.
This application and the information contained herein is a request for the extension of credit for commercial business use only. The applicant authorizes Bertelkamp to
obtain a written or oral credit report from any credit reporting agency. Applicant further authorizes any bank or commercial business with whom the applicant is doing
or has done any type of business to give any and all necessary information to Bertelkamp which will assist Bertelkamp in it's credit investigation. The applicant further
authorizes Bertelkamp to investigate the applicant's credit status from time to time as Bertelkamp deems necessary. Any changes in legal status must be communicated
to Bertelkamp by certified mail. The original applicant will remain liable until such time as Bertelkamp has received notice of the change in legal status and been given
a reasonable period of time to respond to such notice. Further, should this account be placed for collection the applicant agrees to pay all costs of collection including,
but not limited to attorney fees of 25%.
Name of Bank