Credit Application Form
Need credit for which service?
COMPANY INFORMATION
IF Yes, please attach a completed resale card
(File size should be less than 2 MB)
MEMBER/OWNER INFORMATION: (If applicant is a sole proprietor or partnership) OFFICERS INFORMATION: (If a Corporation)
TRADE REFERENCE: FAX NUMBERS OR EMAIL ADDRESS REQUIRED
READ BEFORE SIGNING

Applicant has completed this Credit Application for the purpose of procuring and maintaining credit on an open account basis with Velocity Vehicle Group & Affiliates (“Velocity”), and Applicant and the signer below (who warrants due authorization from Applicant for all matters stated herein) certify that all statements are true. Applicant and the undersigned have authorized Velocity to check credit references and to verify employment for applicant and any guarantor. Applicant and the undersigned have also authorized Velocity to obtain from any source all credit information concerning the referenced applicant and any proposed guarantor (including but not limited to credit references, employment verification, financial statements, tax returns, information concerning loans, information concerning depository and other accounts, and credit reporting agency information) (collectively the “Credit Information”), to share all Credit Information with all any and all affiliates of Velocity, and to provide all Credit Information to any and all third parties having a legitimate interest in any transaction for which the credit application is made. Applicant and the undersigned acknowledge that the credit sought is solely for a business purpose and not for any personal, household or family purpose.

Applicant and the undersigned understand and agree that all charges are due and payable 30 days following the date of charge. In the event it becomes necessary for Velocity to incur collection costs or institute suit to collect costs or institute suit to collect any amount due under this agreement, applicant promises to pay such additional costs, interest, including reasonable attorney’s fees. Velocity has the right to deny credit or limit the amount of credit extended, for any cause or no cause.

GUARANTY

In consideration of advances, and/or extensions of business credit for goods and services obtained by the above designated applicant Velocity Vehicle Group and as an inducement to make such advances and/or extension, the undersigned jointly, several- ly, irrevocably and unconditional agree to (1) the terms and conditions set forth in the agreement above and fully incorporated herein by this reference: and (2) guarantee the payment of any and all indebtedness, including advances, debts, obligations and liabilities now existing or hereafter made and incurred, together with such costs and expenses, including reasonable attorney's fees, as may be incurred by Velocity Vehicle Group in the enforcement of this Guaranty, whether or not suit is commences. The undersigned expressly authorize Velocity Vehicle Group and affiliates to renew, compromise, extend, accelerate, or otherwise modify the terms of the credit agreement or any underlying agreement without notice or demand to the undersigned and without affecting the undersigned's liability hereunder.

Husband and wife must both sign the guaranty. If only one person signs the guaranty, the person signing not only represents to Velocity Vehicle Group that he/she is not married, but also understands that Velocity Vehicle Group is relying on that representation to its detriment



Contact Us