INSTRUCTIONS: Please..., after filling out this form, print it, SIGN IT and fax it Team Fischer Inc at 262-780-3902 Team Fischer Inc Credit Application for a Business Account Phone: 262-780-3900        Fax: 262-780-3902 Business Contact Information                               Company Legal Name:                               Billing Address:                               City:        State:        Zip:                                 Phone#:       Fax#:       E-Mail:                               (Please Include Your Area Code)                                Date business started:                                Sole Proprietor Ship:      Partnership:      Corporation:      LLC:      Other: Business and Credit Information                                 Physical Business Address:                                 City:        State:      Zip:                                  How long at current address?                                 Bank Name:                                 Bank Address:                                 City:        State:       Zip:                                  Type of Account:     Saving:      Checking:      Other: Business and Trade References                                 Company Name:                                 Address:                                City:        State:       Zip:                                  Phone#:       Fax#:      E-Mail:                                 Type of Account:                                  Company Name:                                 Address:                                City:        State:       Zip:                                  Phone#:       Fax#:      E-Mail:                                 Type of Account:                                  Company Name:                                 Address:                                City:        State:       Zip:                                  Phone#:       Fax#:      E-Mail:                                 Type of Account:  Agreement All invoices are to be paid in 30 days from date of invoice. Applicant agrees to pay interest of 1.5% per month on past due invoices until collected. Applicant agrees to pay all cost of collect incurred by Team Fischer Inc including but not limited to attorney's fees, lien filing fees and expenses. Claims arising from invoices must be paid within 7 working days. By submitting this application you authorize Team Fischer Inc to make inquiries to banking, saving, business and or trade references you have supplied. Signatures A member of the LLC or an officer of the corporation must sign this application

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