Company Information
Contact Information
Accounts Payable Contact Information
Bank References
Supplier Reference #1
Supplier Reference #2
Supplier Reference #3
Delivery Instructions
Supporting Documentation

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The undersigned hereby authorizes any bank, or other lender or grantor of credit, to provide St. Charles Trading, Inc. information regarding the character, reputation, financial responsibility and indebtedness of the undersigned as requested by SCT for the purpose of evaluating the commercial credit request of the undersigned, and hereby releases SCT and any lender or grantor of credit from any and all claims or causes of action that may arise of which he might have by reason of information furnished SCT by said bank or other lender or grantor of credit. Applicant agrees to pay interest at the rate of prime + two (2) points if account is 60 days past due. Applicant agrees to reimburse all legal and collection costs and fees if the account is more than 60 days past due.
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