IPS CREDIT APPLICATION

Credit Application

Credit application form for IPS spray foam materials.

Legal Name Of Business(Required)

Name(Required)

First Last

Phone(Required)

Fax

EIN

Employer Identification Number

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website(Required)

Requested Credit Limit(Required)

Please attach a copy of the most recent balance sheet, this is required to complete your credit application.(Required)

Max. file size: 50 MB.

Bank Reference

Please ensure all data is current and accurate and make references aware that they will be contacted by IPS

Bank Name:(Required)

Address:(Required)

Bank Officer Name:(Required)

Bank Officer Phone Number:(Required)

Bank Officer Email:(Required)

Type of Loans:(Required)

Loan Balance:(Required)

Loans Secured By:(Required)

Please Provide 3 Trade References

Please ensure all data is current and accurate and make references aware that they will be contacted by IPS

Trade Reference #1 Company Name:(Required)

Address:(Required)

Contact Phone Number:(Required)

Contact Email(Required)

Credit Limit:

Year Account was Opened:

Credit Terms:

Trade Reference #2 Company Name:(Required)

Address:(Required)

Contact Phone Number:(Required)

Contact Email(Required)

Credit Limit:

Year Account was Opened:

Credit Terms:

Trade Reference #3 Company Name:(Required)

Address:(Required)

Contact Phone Number:(Required)

Contact Email(Required)

Credit Limit:

Year Account was Opened:

Credit Terms:

Please attach a copy of your most recent W-9.(Required)

Max. file size: 50 MB.

Are you tax exempt?(Required)

If you are tax exempt you must attach a sales tax exemption certificate here.

Max. file size: 50 MB.

If you are tax exempt and you don't submit your sales tax exemption certificate, you will have to request your refund from the state

I read the above statement and undertsand that I will be responsible for requesting my own refund if I do not submit my tax exemption now.

I am not a tax exempt company.

Purchase Agreement

Amounts due as a result of any and all purchases either materials or warranties hereafter made by Customer from Supplier will be paid to Supplier on the following terms and conditions. Terms Unpaid invoices are past due if not paid in accordance with the terms as stated on the invoice. Standard Payment Terms are Net 30 unless otherwise agreed to in writing. Credit Card Payments All credit card payments will incur a 3% transaction fee. Restocking Fees A 20% restocking fee will be applied to any returned material that is returned within the allowed 90 days from shipment. Material returned after 90 days from shipment will not be eligible for a refund. Late Payments Past due accounts are subject to a late charge of one and one-half percent (1.5%) per month on the amount overdue (not to exceed the amount allowed by state law) and collection of this charge will be strictly enforced and litigated if necessary. Bad Checks, C.O.D. A service charge of $20.00 will be applied to each returned check. If at any time, Customer fails to pay invoices when due, or if for any reason Supplier feels insecure in extending credit, Supplier may decline to provide further goods on credit. Failure to Pay or Insolvency Failure by Customer to pay any part of the account when due, or in the event that proceedings in bankruptcy, receivership, or insolvency are instituted by or against Customer or his property, Supplier may at his option, cause the entire unpaid balance to become due immediately payable and Supplier shall have the right to enter at anytime without notice upon the premises where any of the materials procured by the Customer from Supplier are located. Customer hereby expressly waives any right to action which my accrue by reason of the entry for taking possession of or the selling of with respect thereto including service charges and reasonable attorney’s fees and court costs. Customer will be liable for all costs of collection, including but not limited to attorney’s fees, if necessary. Additional Security for Payment The Customer hereby agrees to execute such additional documents as the Supplier may require including a personal and/or business guaranty and UCC Financing Statements are required from time to time by the Supplier. Entire Agreement This Agreement covers all materials which the Customer may hereafter acquire at any time from Supplier. No waiver or modifications shall be valid unless the same are in writing and executed by both parties hereto. This contract shall apply and accrue to the benefit of, and be binding upon, the heirs, executors, administrators, successors, and assigns of the respective parties. Receipt of a Copy Customer hereby acknowledges the receipt of a copy of the Agreement at the time of its execution.

Credit Application

Bank Reference

Please Provide 3 Trade References

Purchase Agreement

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