Credit Application

Principal Partners or Corporation Officers

Partner 1

Partner 2

Bank References

Trade References

(Do not list financial institutions; Tire, Fuel, Oil Companies; Credit Card or Department Store Charges)

Reference 1

Reference 2

Reference 3

Adams Bros Concrete Products LTD credit terms are Net 30 days from invoice date. All accounts past 30 days will be issued a finance charge of 1.5% per month. If the situation arises in which legal action is necessary to collect this account ALL COSTS, including but not limited to, attorney fees and court costs wil become part of the account.

I understand and agree to all of the above terms and certify that all information on this form is correct.