Ken' Korner Credit Application Page
	It is customary in the service industry to pay for services after the work is done. We do the work and then get paid. This puts Ken's Korner in the position of extending a form of credit to our customers so the legal people say we need a signed credit application. Also it is unfortunate, but not everyone follows this custom of pay for work upon completion. And again, we need signed credit application. I am sure you understand the dangers of doing business based on a handshake in todays world. For the protection of ourselves and our customers we require a signed credit application to be on file before any work started. Ken's Korner values privacy.
	Two ways to go; Electronically on line (Preferred) Fill out this form and click the "Submit Application" button at the bottom of the page. We accept electronic signatures such as Verisign. While we do require a signed credit application to be "on file" it does not have to be the old ink-on-paper type. These days we are actually more comfortable with electronic files. On paper by U.S.P.S. (Alternate). Print this form, fill it out and sign it. Then mail it to; Ken's Korner Webpages 8916 Bruce Street Thornton Colorado 80221-4909. Fax? Yes but we try to discourage that. The FAX number is 303 650 0390 but this is a computer, (imagine that) that is not always working as a fax machine. If you want to send a fax please alert us first so we can be sure that machine is at least turned on and not transferring files at that time.
	Any misrepresentation in this Agreement will be considered evidence of fraud, since this information is the basis for extending of credit. As an inducement to grant credit, the undersigned warrants that the information submitted is true and correct. Ken's Korner, or agents acting on behalf of Ken's Korner is/are authorized to investigate the credit references and principles listed.
	In consideration for the extension of credit, said business promises to pay for all purchases and services within the TERMS agreed and agrees to pay a service charge per month of 1.5% (18% annual purchase rate) on all past due balances. In the event that any third parties are employed to collect any outstanding monies owed by said business the undersigned agrees to pay reasonable collection costs, including attorney fees. Whether or not litigation has commenced, and all cost of litigation incured. The undersigned represents that he/she has the authority to execute this credit agreement on behalf of the business identified.
	The bold fields are required. Has the firm or any of it's principles ever been Bankrupt? Yes No Select yes or no If yes, please explain Business Name Business Address Business Address 2nd line, (if applicable) City State    Zip Number of years at this address Previous Address, (if less than five years at present location) Federal Tax ID number Type of business Date Established Number of Years in Business Mortgage holder/Landlord Mortgage holder/Landlord Address Mortgage holder/Landlord phone Does the State, County or City require a license? Yes No Select Yes or No If yes please provide details Primary Contact Person Contact e-mail Contact Phone Number Line of Credit Requested $1,000.00 $2,000.00 $5,000.00 Other Amount Ownership Sole Proprietorship Partnership Corporation Select One 1st Principle Name Title   SS#  2nd Principle (if applicable) Name Title   SS#  1st  Trade Reference Name Title   Phone  2nd Trade Reference Name Title   Phone  1st Bank Reference Name Address Account # Phone  2nd Bank Reference Name Address Account # Phone  Number of Employees Estimated Annual Sales Sales Teritory Personal Guarantee In consideration for Ken's Korner extending credit to the business identified in this document for any materials and/or services after this date at the request of applicants or it's agents, the undersigned individual hereby personally guarantees unconditionally and irrevocably the prompt payment of any sums now or hearafter owed to Ken's Korner by the business identified in this document whether said sums are due under open account, contract or otherwise. It is understood and agreed that credit, if extended, is to be on a continuing basis and may exceed estimated maximum credit limit required as stated in this document . Ken's Korner shall not be obligated to notify the undersigned of the dates or amounts of any such credit and the undersigned waives demand, notice of default and any extension of time or any other forbearance which may be extended by Ken's Korner. This guaranty shall continue in force until notice in writing, sent by registered or certified mail, return receipt requested is received by Ken's Korner. Said notice shall specify the date on which this guaranty is to be terminated, said date not to be seven days after such notice is received. Such termination shall in no way release the undersigned as to any sum or debt incurred prior to such termination. Name of Person Guaranteeing Payment, (NO TITLE) Home Address of Person Guaranteeing Payment Home Phone Number of Person Guaranteeing Social Security Number of Person Guaranteeing Payment Signature of Person Guaranteeing Payment NOTE: An electronic signature on this document is considered a valid signature. HOME