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Credit Application & Agreement

Company Information

Legal business name

DBA

Type of business

Type of business
A
B
C
D

Year established

EIN/Tax ID

State of incorporation

Business address

City

State

Zip

Contact phone

Fax

Website

Billing Information

Billing address

Billing city

Billing state

Billing zip

Accounts Payable(AP) Contact

AP email

AP phone

Bank Reference

Bank name

Bank contact

Bank contact phone

Bank contact email

Bank website

Trade References

Three trade references are required for application.

Trade reference #1

Company 1

Contact 1

Phone 1

Email 1

Website 1

Trade reference #2

Company 2

Contact 2

Phone 2

Email 2

Website 2

Trade reference #3

Company 3

Contact 3

Phone 3

Email 3

Website 3

Credit Request

Credit limit requested

Preferred terms

Preferred terms
A
B
C

Credit Application Terms and Conditions

1. Approval & Modification of Credit: All credit applications are subject to review and
approval by Earth Retention, LLC ("Company"). The Company reserves the right, at
its sole discretion, to reduce, suspend, or revoke credit terms at any time without
prior notice, based on applicant’s payment performance, financial condition, or
market conditions.
2. Payment Terms: All invoices are due and payable according to approved credit terms
stated on each invoice. Accounts not paid when due may be placed on hold. Returned
checks will incur service fees. Repeated late payments may result in revocation of credit
privileges.
3. Finance Charges & Collection Costs: Past due accounts are subject to finance charges
of 1.5% per month (18% annually) or maximum allowable by law. Customer agrees to pay
all collection costs, including attorney’s fees, court costs, arbitration, and third-party
collection fees.
4. Authorization to Verify Credit: Applicant authorizes the Company to contact banks,
trade references, credit agencies, and other sources deemed appropriate to verify
creditworthiness. This may include personal and business credit checks.
5. Delivery & Risk of Loss: Title and risk of loss transfer to customer upon delivery to
carrier. Claims for shortages, damages, or defects must be made within 10 days of
receipt. Failure to notify constitutes acceptance of goods.
6. Returns & Adjustments: No merchandise may be returned without prior written
authorization. Approved returns are subject to restocking fees and must be shipped
prepaid.
7. Limitation of Liability: The Company shall not be liable for indirect, incidental,
punitive, or consequential damages from goods or credit decisions. Liability shall not
exceed the value of goods sold.
8. Warranties: The Company disclaims all express or implied warranties, including
merchantability and fitness for purpose. Remedies are limited to repair, replacement, or
credit, as determined by the Company.
9. Change in Ownership/Business Structure: Applicant agrees to notify Company
immediately of changes in ownership, legal structure, mergers, acquisitions, or material
financial changes. Failure to notify may result in suspension of credit.
10. Governing Law & Venue: Agreement governed by laws of State of Georgia.
Disputes resolved in courts of Cherokee County, GA.
11. Force Majeure: The Company shall not be liable for delays or inability to perform due
to causes beyond reasonable control, including natural disasters, strikes, supplier
failures, transportation issues, or government restrictions.
12. Default: In case of default, all outstanding amounts become immediately due.
Company may withhold shipments, cancel orders, or terminate agreements.
13. Confidentiality: All financial/business information provided remains confidential
and used only for credit evaluation, except as required by law.
14. Severability: If any provision is invalid or unenforceable, the remaining provisions
remain in effect.
15. Waiver: Failure to enforce any term shall not constitute a waiver of enforcement
rights in future.
16. Entire Agreement: These terms represent the entire credit agreement, superseding
prior agreements. Modifications must be in writing and signed by both parties.
Please acknowledge that you have read and accept the aforementioned terms and conditions.

I accept the terms and conditions.

I accept the terms and conditions.
A
B

Acknowledgment & Agreement

I acknowledge that the information provided in this credit application is true, correct, and complete to the best of my knowledge.

Authorized signers name

Authorized signers title

Authorized signature

Signature

Files & Attachements

Please upload any information that you would like to include with your application.

File 1

File 2

File 3

Submit Application

Please use the submit button below to submit your application to Earth Retention's Finance Department. It usually takes 3-4 days for review. We will email you upon our decision.
Thank you for choosing Earth Retention for all of your design, supply and support needs.