Direct
Advantage is herewith submitted for the purpose of
opening an account. By submitting this form, I hereby certify
all information to be true and accurate. All information provided
will be used by Direct Advantage employees
to determine credit worthiness and/or effect collections. Applicant
agrees to pay any collection fees incurred to collect the balances
owed including reasonable attorney's fees. Direct
Advantage reserves the right to assess an interest
charge of 1.5% per month (18% annually) on all invoices over 30 days
old.
Signature
Authorizing Credit Verification and Processing for Credit Approval
Sign the
authorization line below and fax back this completed form for Credit Approval. Time is of the essence in returning the faxed
signature form and Credit will not be issued without receipt of
authorized signature.
Principle or Authorized
Signature (Company owner/principle will be held liable for all
purchases regardless of party signing credit application, and
balances owed are non-transferrable and non-assignable to other
parties for any reason.)
Signed________________________________________________________________________Date________________________
Fax
Signed and Completed Form to us Toll Free: 1-888-369-0788 |