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CREDIT APPLICATION

I. Account Information

Billing Location

Billing Contact

Shipping Location

Shipping Contact

Accounts Payable

 

 

Please proceed to section II Business Credit Application, III Tax Information and IV Applicant’s Authorization and Agreement. Please return form to your Domino contact.

Please proceed to section II Business Credit Application, III Tax Information and IV Applicant’s Authorization and Agreement. Please return form to your Domino contact.

II. Business Credit Application

All areas of the business credit application must be completed, and the application form must be signed prior to shipments being sent on open account.

Parent Company

Bank Reference

Trade Reference

Financial Information

III. Tax Information

Please include a copy of your sales tax exemption certificate for each state Domino will be shipping to. Otherwise sales tax will be invoiced.

Please provide of copy of your tax exempt documentation.

IV. Title and Purchase Money Security Interest

Risk of loss passes to Customer (Debtor) upon delivery and/or signature of Agreement and Debtor is liable for all loss, damage to or destruction of the Products upon delivery. As security for (i) the payment of any and all amounts that may now be owed or hereafter become due and owing to Domino Amjet, Inc. (Secured Party) under the Agreement or any invoices issued hereunder and (ii) the due and timely performance of all of Debtor's obligations under the Agreement (collectively, the "Obligations"), Debtor hereby grants to Secured Party a continuing lien and purchase money security interest in all, inventory, equipment and goods branded Domino, purchased from Secured Party, whether now or hereafter existing, arising or acquired and wherever located, together with all proceeds, accounts receivable, products, accessories, instruments, additions, attachments, improvements, substitutions and replacements of, to or for any of the foregoing (the "Collateral").

V. Default/Remedies

The following shall constitute a default by Debtor: Non-Payment: Failure to pay the principal or any installment of principal or of interest on the indebtedness or any notes when due. In addition, Debtor shall be in default if bankruptcy or insolvency proceedings are instituted by or against the Debtor or if Debtor makes any assignment for the benefit of creditors. Misrepresentation: Misrepresentation or misstatement in connection with, noncompliance with or nonperformance of any of Debtor’s obligations or agreements under this Security Agreement. Without limiting its remedies under existing law, Secured Party, may, in the event of default or material breach by Debtor, and in its sole discretion, pursue any or all of the following remedies: (a) suspend or cancel its performance hereunder, including any pending or future deliveries; (b) take possession of the Products by entering upon Customer’s premises; (c) declare all unpaid balances, payments and expenses due or to become due hereunder immediately due and owing; (d) terminate this Agreement without liability to Debtor; (e) seek any other cumulative remedies at law or in equity or (f) exercise any all rights and remedies available to a secured creditor under the Uniform Commercial Code. The foregoing remedies are cumulative, and may be exercised by Secured Party, in whole or in part, at Secured Party’s sole discretion. The substantially prevailing party shall be entitled to its attorneys’ fees, costs, and expenses (including expert expenses) in connection with any claims, causes of action or litigation.

VI. Applicant’s Authorization and Agreement

IV. Applicant’s Authorization and Agreement

In support of this application, Domino Amjet, Inc. is hereby authorized to obtain credit and/or financial information from my/our bank(s), other financial institutions or commercial firms with whom I/we have done business. It is understood that any such credit and/or financial information will be used only in consideration of this application. Upon approval of this application, it is agreed that all purchases will be paid in full in accordance with the terms of sale as stated on Domino Amjet’ invoice(s). Should I/we not pay Domino Amjet, Inc. according to terms, or should Domino Amjet, Inc. at any time consider that conditions do not warrant shipment on the terms, for payment as stated on the Domino Amjet, Inc. invoice(s), Domino Amjet, Inc. shall have the right to change the terms of payment, withdraw credit privileges, and/or require payment, as a condition of shipment. Should I/we not pay Domino Amjet, Inc. according to its terms, a service charge for late payments may be assessed at an interest rate of 1.5 percent per month (or such other rate allowable by law). Domino Amjet, Inc. find it necessary to obtain assistance in collecting any past due balance, I/we agree to pay reasonable attorney fees, collection fees and/or court costs allowable by law. A copy of this statement and application has been received.

In support of this application, Domino Printing Solutions Inc. is hereby authorized to obtain credit and/or financial information from my/our bank(s), other financial institutions or commercial firms with whom I/we have done business. It is understood that any such credit and/or financial information will be used only in consideration of this application. Upon approval of this application, it is agreed that all purchases will be paid in full in accordance with the terms of sale as stated on Domino Printing Solutions’ invoice(s). Should I/we not pay Domino Printing Solutions Inc. according to terms, or should Domino Printing Solutions Inc. at any time consider that conditions do not warrant shipment on the terms, for payment as stated on the Domino Printing Solutions Inc. invoice(s), Domino Printing Solutions Inc. shall have the right to change the terms of payment, withdraw credit privileges, and/or require payment as a condition of shipment. If Domino Printing Solutions Inc. finds it necessary to obtain assistance in collecting any past due balance, I/we agree to pay reasonable attorney fees, collection fees and/or court costs allowable by law. A copy of this statement and application has been received.

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