JAMES GREENE PRODUCTS
		ATV - ARCHERY - HUNTING - ACCESSORIES
		2321 YELLOW BANKS ROAD
			NORTH WILKESBORO, NC 28659
	Phone : (336) 670-2186				FAX : (336) 670-2149
			CREDIT APPLICATION
ALL INFORMATION WILL BE KEPT IN CONFIDENCE AND USED ONLY IN DETERMINING YOUR QUALIFICATIONS
FOR ESTABLISHING THE TERMS OF FUTURE BUSINESS TRANSACTIONS WITH JAMES GREENE PRODUCTS.
PLEASE ALLOW 3 WEEKS FOR PROCESSING. IMMEDIATE SHIPMENTS CAN BE PROCESSED C.O.D. AND WILL
RECEIVE A 3% C.O.D. DISCOUNT.
GENERAL INFORMATION
							{REQUIRED}
NAME OF FIRM:_____________________________________________________________							TAX EXEMPT NO._________________
BILLING ADDRESS:__________________________________________________________							PHONE: (       ) ___________________
SHIPPING ADDRESS:_________________________________________________________							PHONE: (       ) ___________________
FAX: (      ) _______________________________					YEARS IN BUSINESS: __________________________________
TYPE OF OWNERSHIP:		_____ PROPRIETOR			_____PARTNERSHIP		_____CORPORATION
NAMES OF OWNERS, PARTNERS, OR OFFICERS
1) NAME: ________________________________________ TITLE: ______________________ PHONE: (     ) __________________
HOME ADDRESS: __________________________________ CITY:______________________ STATE:________ ZIP:____________
2) NAME: ________________________________________ TITLE: ______________________ PHONE: (     ) __________________
HOME ADDRESS: __________________________________ CITY:______________________ STATE:________ ZIP:____________
TERMS REQUESTED:		_____ C.O.D. W/ 3% DISCOUNT			_____OPEN ACCOUNT - NET 30
CREDIT REFERENCES ( MUST BE COMPLETED FOR NET 30 DAY TERMS):
1) NAME: _________________________________________ PHONE: (     ) ____________________ FAX: (      )________________
ADDRESS: __________________________________ CITY:______________________ STATE:________ ZIP:____________
2) NAME: _________________________________________ PHONE: (     ) ____________________ FAX: (      )________________
ADDRESS: __________________________________ CITY:______________________ STATE:________ ZIP:____________
3) NAME: _________________________________________ PHONE: (     ) ____________________ FAX: (      )________________
ADDRESS: __________________________________ CITY:______________________ STATE:________ ZIP:____________
4) NAME OF YOUR BANK: ____________________________________OFFICERS NAME:_______________________________
ADDRESS: ___________________________________________________						PHONE: (       ) ___________________
I hereby certify that the information set forth above, together with all information submitted in connection with the applications is true
and correct. I understand that James Greene Products will rely on the information in extending credit to me. Open account terms are
Net 30 from date shipped. By law a finance charge of not more than 1-1/2% per month will be accessed on my past due invoice.
Rates governed by individual state laws.
I have read and understand the terms of sale stated above and agree that such terms apply to all transactions with James Greene Products.
SIGNATURE AND TITLE OF PERSON COMPLETING THE ABOVE INFORMATION								DATE
I hereby agree to pay James Greene Products all indebtedness now or hereafter owing by me to said company whether individually, partnership, or corp.
In consideration of James Greene Products extending credit to the above applicant, the undersigned does hereby individually & personally guarantee to pay
James Greene Products the sum or sums of money, as may at any time hereafter become due to James Greene Products from the said applicant for goods
sold to the applicant, whether said trade be in the form of notes, bills, or open account. If it becomes necessary to enforce this guarantee by suit, I agree to
pay interest on past due invoices and all attorney fees, as allowed by law.
DATE:______________________			SIGNATURE OF OWNER:___________________________________________________
DATE:______________________			SIGNATURE OF OWNER:___________________________________________________