Vantage Lighting, Inc.

Please print credit application and fax completed form to 1-415-507-0502, Attn.: Credit Department.
MAJOR SUPPLIERS:_______________________________________________________________________________
ADDRESS:_______________________________________________________________Zip._____________________
Phone:_____________________________ Fax:____________________________ Acct.#___________________
B)________________________________________________________________________________________________
ADDRESS:_______________________________________________________________Zip. _____________________
Phone:_____________________________ Fax:____________________________ Acct.#___________________
ADDRESS:_______________________________________________________________Zip. _____________________
Phone:_____________________________ Fax:____________________________ Acct.#___________________
C)________________________________________________________________________________________________
ADDRESS:_______________________________________________________________Zip. _____________________
Phone:_____________________________ Fax:____________________________ Acct.#___________________
D)________________________________________________________________________________________________
ADDRESS:_______________________________________________________________Zip. _____________________
Phone:_____________________________ Fax:________________________ Acct.#___________________
BANK REFERENCES
Main Bank Name: ________________________________ Branch: _________________
Address: ________________________________________ City: ________________________ Zip. ________________
Phone: ____________________________ Fax: ________________________________________
Account #'(s)
Checking: _______________________________________ Savings: ___________________
Contact: _________________________________________
A SERVICE CHARGE OF $25.00 WILL BE CHARGED FOR EACH CHECK RETURNED UNPAID.
This application is to obtain credit from Vantage Lighting, Inc. whether purchases are to be made now or hereafter in the event any sums owing from the undersigned to above-named company becomes past due, or in the event of any term, credit or purchase has not been met as agreed any part of sums owing to the company, whether or not then due, shall thereupon become due and payable in full at the option of the company. The undersigned agrees to pay all reasonable costs, expenses, and attorney's fees, whether suit is filed or not, incurred in the enforcement any obligation of the undersigned, or incurred in the collection of any sum due, extended in reliance hereon, or in the enforcement of the continuing guarantee or part thereof. The undersigned agrees to pay all sums due to the company, at San Rafael, California. The undersigned further agrees that the venue of any action brought against the undersigned by either of the companies hereunder to collect any sums shall be Marin County, California.
Date: ________________ Signature: _____________________________________________________________
Name (please type or print) __________________________________________________________________________
Title (Must be principal, officer, or partner): ___________________________________________________________
CONTINUING GUARANTEE
For the purposes of inducing extension of credit, or of inducing temporary forbearance from collection of accounts for monies due at the time hereof from the person or firm applying for credit, listed on page 1 hereof, the undersigned hereby absolutely and unconditionally guarantees, on a continuing basis, the performance of the person or firm on page 1 hereof applying for credit, and to whom credit is extended, including but not limited to the due and prompt payment of all present and future indebtedness, whether secured or unsecured and regardless of how the indebtedness is represented or incurred. The undersigned consents to any extension or alteration of any obligation and guarantees without such prior notice, demand, or pursuit of remedies against the party primarily liable. This guarantee shall continue in effect until the undersigned has notified the creditor in writing of its cancellation, but such cancellation shall not alter any obligation of the undersigned arising hereunder prior to the receipt of such written notice. The undersigned hereby further agrees to indemnify and save creditor harmless from any loss, damage, and expense caused by or arising out of any default on the part of any such person or firm in making payment of any part or all of such sums and in the event of such default agrees, upon demand, to pay creditor the amount of any such loss, damage, and expense. The undersigned further agrees to pay all reasonable cost, expenses, and attorney's fees incurred in the enforcement of this continuing guarantee, or in the enforcement of any obligation as the result of the extension of credit or forbearance, including, but not limited to collection of any past-due indebtedness whether or not suit is filed.
Guarantor's Signature: ______________________________________________________ Driver's License# /State:__________________________________ Date:_________
Guarantor's Signature: ______________________________________________________ Driver's License # /State:____________________________________ Date:_________
Typed Name & Title: _______________________________________________________________________________
Typed Name & Title: _______________________________________________________________________________
UNSIGNED OR INCOMPLETE APPLICATIONS CANNOT BE PROCESSED