Asterisk (*) indicates Required Field
Bank References (Include personal bank if proprietorship or partnership)
Equipment dealerships or suppliers that have extended credit to you
The undersigned consents to and authorizes our bank and trade references to release financial information to HJV Equipment and/or outside credit agency. Should a charge account be approved, I/we agree to pay the outstanding in accordance with our terms of sale (Net 30). I/we agree to pay an interest charge of 2% per month on any overdue balance.