Credit Application

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Magic Valley Truck Brokers, Inc.

Loads to All Points in U.S.A., Canada and Mexico


7804 OVERLAND RD., BOISE, IDAHO 83709
Phone (208) 375-5677
1-800-635-3053
FAX (208) 377-0956
CREDIT APPLICATION AND INFORMATION
(Confidential information to enable us to verify your credit file)
COMPANY NAME: _____________________________________________________
ADDRESS: ___________________________________________________________
CITY: _________________________ STATE: _____________ ZIP: ____________
PHONE #_______________________ FAX # _________________________________
Business Type: ___ CORPORATION___ PARTNERSHIP___ INDIVIDUAL___ PROPRIETOR
BANK REFERENCE:
BANK NAME: _______________________________ BANK PHONE # _______________________
BANK CONTACT: ____________________________ ACCOUNT # __________________________
CITY: __________________________ STATE: ______________________________
CREDIT REFERENCES:
1)

NAME: ______________________________________

CONTACT:___________________________________
PHONE #: ____________________________________
CITY & STATE: ______________________________
2)

NAME: ______________________________________

CONTACT: __________________________________
PHONE #: ___________________________________
CITY & STATE: ______________________________
3)

NAME: ______________________________________

CONTACT: __________________________________
PHONE #: ____________________________________
CITY & STATE: ______________________________

PERSONS AUTHORIZED TO ORDER: __________________________________________


TITLE: ______________________________________

Credit Application

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THE CUSTOMER UNDERSTANDS THAT THE TERMS OF WHICH MAGIC VALLEY


GRANTS CREDIT ARE:
1.

TERMS:

Accounts are due and payable upon receipt of invoices, net 15 days.

A finance charge of 1.75% per month (21% A.P.R.) will be charged on all past due
accounts over 30 days.
2.

AGREEMENT:
I (We), the undersigned hereby grant Magic Valley permission for
a credit check on the above listed business and individual(s). In the event of default by
the customer(s), in the performance of any of the terms and conditions hereof, Magic
Valley may thereupon proceed to collect from the customer(s) the entire balance due, and
if the matter be placed in the hands of attorney for suit or collection, the customer(s)
agree to pay all reasonable attorneys fee for such action as well as any and all costs of
collection.

THE ABOVE TERMS AND CONDITIONS ARE HEREBY UNDERSTOOD AND AGREED
TO.
(Must be signed by authorized persons)

DATE:

BY:

TITLE:

BY:

TITLE:

3.

PERSONAL GUARANTEE:
The undersigned personally guarantees payment to
Magic Valley on demand, of all indebtedness of the customer named above. This
guarantee is without limit as to amount and may only be revoked by written notice to
Magic Valley for transactions occurring after receipt of the notice. The undersigned
waives any right to separate notice of delinquency or to require Magic Valley to proceed
against the customer or any security, and further agrees to pay a reasonable attorney fees
and other costs incurred by Magic Valley in the enforcement of this guarantee.
(Signature)

_____________________________________(print name)
(Signature)
______________________________________(print name)

Credit Application

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