Application for Credit Application for Credit Newsletter Company InformationType of BusinessRelated CompaniesBanking & Trade ReferencesDocumentationCompany InformationName (Hereinafter referred to as "Customer")PhoneEmailAddressTax IDW9Principals/OwnersOfficerOfficerOfficerTitleTitleTitleAccounts Payable contactNameEmailPhoneWebsite2 TYPE OF BUSINESS Type of BusinessType of Business Proprietorship Partnership Corporation Limited companyOrganized under the laws of (country)Select CountryUnited States (US)AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)RomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweState or ProvinceType of Business PLC Joint Venture LLC LLPDate Legal Entity Created 1 Company Information3 RELATED COMPANIES Related CompaniesParent company of applicantPhoneEmailAddressHas your company, affiliated or associated companies previously established credit with AUGE? Yes NoFromName of companyFromName of company 2 TYPE OF BUSINESS4 BANKING & TRADE REFERENCES Banking & Trade ReferencesPrincipal BankPhoneEmailAddressChecking Acct. No.Loan Acct. No.Other Acct. No.Credit facility- Select -Line of creditAmount ($)Trade Reference 1Contact NamePhoneEmailTrade Reference 2Contact NamePhoneEmailTrade Reference 3Contact NamePhoneEmailPaymentPayment for services and materials provided by Auge will be paid from:Location/CityBy 3 RELATED COMPANIES5 DOCUMENTATION DocumentationPlease submit the following documents properly signed by your business and/or accounting representative.Attach Re Sale Certificate Attach Re Sale Certificate Attach Sales Terms & Conditions Attach Sales Terms & Conditions Attach Other Document Attach Other Document I have read and accept the privacy policy.Customer agrees that in consideration of any credit extended by Auge hereunder, all invoices from auge will be paid by the Customer according to terms shown on each invoice. Customer agrees to pay interest on any unpaid balance from the date payable until paid at the highest lawful contract rate applicable, but never to exceed 18% per annum. In the event Auge employs an attorney for collection of the account, Customer agrees to pay attorney fees of 20% of the unpaid account, plus all collection and court costs. 4 BANKING & TRADE REFERENCES SEND APPLICATION FOR CREDIT
