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CREDIT APPLICATION

Please submit your application once you have filled out all of the required fields. You may also download and email a signed application to: bbesner@techprosecurity.com or fax it to 561-288-5257

1. Applicant Information

Personal Information:

Business Information:

Do you require Purchase Order #'s?
If Yes, What is Required?

2. Bank References

Bank #1:

Bank #2:

3. Trade Credit References (No Credit Cards, Please)

Reference #1:

Reference #2:

4. Techpro Security Products, LLC Authorized Purchase Order Account Information

Do you presently have credit terms with any Techpro Security Products, LLC?
Are You a Governmental Entity with a Government Issued Purchase Order?

AUTHORIZED PURCHASER(S)

The endorsing purchaser(s) designated below are authorized to determine which individuals may purchase on behalf of the applicant (Company Only), and shall provide written notification to Techpro Security Products, LLC of those individuals which are authorized to act as authorized purchaser(s) on the applicant’s credit account. The applicant is responsible for notifying its purchasers of the terms and conditions of the credit account. Any changes to individuals listed (additions or deletions) must be made in writing to Techpro Security Products, LLC. Changes are effective the date Techpro Security Products, LLC receives written notification.

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THIS IS AN APPLICATION FOR CREDIT. I agree that the Techpro Security Products, LLC retains the sole discretion over all decisions with respect to the credit extension or continuation of credit, and nothing in this Credit Application constitutes a guarantee that Techpro Security Products, LLC will provide credit, services, or any products or licenses to the applicant. By submitting this Credit Application, I certify that (a) I am authorized to sign and submit this Credit Application and all information provided in the application is true, accurate and complete; (b) I am the owner, principal, officer or authorized agent of the applicant listed on this application; (c) this application is submitted to Techpro Security Products, LLC for business or commercial purposes; (d) the applicant expressly authorizes Techpro Security Products, LLC or its affiliates to obtain credit reports (including but not limited to bank references, trade credit references, consumer and/or commercial credit reports) on the applicant from any source, including credit bureau reporting agencies, for use in evaluating this application. I understand that Reef Ball may report the payment history of the applicant to credit reporting agencies.

By use of a credit account with Techpro Security Products, LLC, the applicant accepts the then-current Terms & Conditions of any Techpro Security Products, LLC License Agreement included with any invoice, and Techpro Security Products, LLC‘s terms shall not be amended or superseded by any terms and conditions or purchase order that the applicant may provide even if Techpro Security Products, LLC signs such purchase order. The applicant agrees to pay a monthly finance charge of the maximum applicable rate on all past due balances, and all costs of collection and litigation on this account in accordance with the laws of the Creditor’s State of Incorporation. Please retain a copy of this application for your records. If your application for business credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please email Techpro Security Products, LLC Credit Manager Brad Besner bbesner@techprosecurity.com, within 90 days from the date you are notified of our decision. We will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement. The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided that the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission, Equal Credit Opportunity, Washington, D.C. 20580.

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