1226 South 1480 West, Orem, Utah 84058
(801)222-0900 office (801)802-0455 fax
contact@disc-usa.com
CREDIT APPLICATION - ACCOUNT AGREEMENT
For security reasons, please fill in form, print, sign and date
all appropriate fields and mail or fax to DISC.
Company Name:
Phone No.:
Billing Address:
Fax No.:
City:
State:
Zip:
 
Shipping Address:
Tax Exempt? Yes N
City:
If tax exempt, click here.
State:
Resale No.:
Zip:
Federal ID No.:
   
OWNERSHIP:
Proprietorship
 
Partnership
 
LLC
 
Corporation - State
Date:
 
OWNERSHIP/PARTNERSHIP/CORPORATE OFFICERS:
1. Name:
Title/Soc. Sec. No.:
Home Address:
City:
State:
Zip:
   
2. Name:
Title/Soc. Sec. No.:
Home Address:
City:
State:
Zip:
   
3. Name:
Title/Soc. Sec. No.:
Home Address:
City:
State:
Zip:
BANK REFERENCE:
Name:
Checking Acct. No.:
Address:
Loan Acct. No.:
City:
Phone No.:
State:
 
Zip:
 
TRADE REFERENCES:
Name:
Phone No.:
Address:
Fax No.:
City:
Acct: No.:
State:
 
Zip:
 
   
Name:
Phone No.:
Address:
Fax No.:
City:
Acct. No.:
Zip:
 
   
Name:
Phone No.:
Address:
Fax No.:
City:
Acct No.:
State:
 
Zip:
 
The undersigned has read, understood and does hereby accept all the TERMS AND CONDITIONS outlined. If either
a credit of C.O.D. account is opened, the said TERMS AND CONDITIONS shall be binding.

 

Signature of Owner, Partner, or Officer: _________________________________________________

 

Date: _________________________

 

Printed/Typewritten Name and Title: ____________________________________________________

 
PERSONAL GUARANTEE

A. In consideration of DISC, LLC (DL) selling goods and services on credit to Client, the Guarantor does with this personally guarantee, absolutely and without condition, the payment of any indebtedness of Client incurred pursuant to this Agreement.
B. If Client defaults on any payment due hereunder, Guarantor will pay DL on demand, and without having to liquidate any security held by it, the unpaid balance thereon. The Guarantor does further agree to understand to be bound by all the terms and provisions contained on the attached Credit Application/Account Agreement.
C. This guarantee is continuing, absolute and unconditional, and until revoked as after this set forth, shall cover all indebtedness and obligations of Client to DL and all credit granted by DL to Client. The Guarantor specifically understands that the account of the Client may, from time to time, be paid in full and new indebtedness subsequently created and the Guarantor specifically agrees that his continuing guarantee shall cover all such indebtedness subsequently created.
D. If legal action is taken to enforce this guaranty or any provision hereof, such action may be maintained alone, or joined with any action or other proceeding against Client or any other guarantor of Client's obligations to DL. Prior action or suit against Client, whether alone or jointly with other guarantors, shall not be prerequisite to DL's right to proceed hereunder in case of Client's default. DL's rights are cumulative and none shall be waived or lost by DL's exercise of any of its rights hereunder of otherwise against Client or Guarantor, or by any number of successive actions until and unless all indebtedness with this guarantee has been paid.
E. With or without notice to Guarantor, DL in its sole discretion, may apply all payments from Client, from guarantor, or from any other source, or realized from any security, in such manner and order or priority as DL sees fit, to any obligation of Client, whether such obligation is due at the time of such application.
F. Until all indebtedness hereby guaranteed has been paid in full, Guarantor shall not have any right of subrogation unless expressly granted in writing by DL.
G. Guarantor expressly waives: (a) notice of the acceptance of this guaranty; (b) notice of the existence or creation of all or any of Client's liabilities to DL; (c) presentment, demand, notice of dishonor, protest and all other notices at all; and (d) the collection, protection or realization of Client's liabilities, hereunder, or any security for any of the foregoing.
H. This continuing guarantee shall be in effect until ten (10) days after the receipt by DL of a written notice, signed by the Guarantor, revoking this continuing Guarantee, and such revocations shall apply only to indebtedness arising from purchase orders received by DL after this ten (10) day period.

The undersigned individual Guarantor has read, understood and does hereby accept all the TERMS AND CONDITIONS outlined in this link If either a credit or C.O.D. account is opened, the said TERMS AND CONDITIONS shall be binding.

_______________________________________        __________________________________
Signature of Guarantor                                                    Date


_______________________________________        __________________________________
Printed/Typewritten Name and Social Security Number   Client's Name