Credit Application
Business Name:
Address:
Telephone:   Fax:  

TRADE REFERENCES
Complete addresses required.
References will be faxed whenever possible to expedite processing. References will be mailed if no Fax number is provided. Please allow 3 weeks processing time if references are mailed.

Please list only suppliers of PRODUCTS who are currently extending you credit.

Name:
Fax:
Address:
Account Number:
   
Name:
Fax:
Address:
Account Number:
   
Name:
Fax:
Address:
Account Number:
   
Name:
Fax:
Address:
Account Number:

BANK REFERENCE

Bank Name:
Telephone:
Address:
Account Number:

PERSONAL GUARANTEE

In consideration of credit being extended by CK South to the above named applicant for merchandise to be purchased whether the applicant be an individual or individuals, a proprietorship, a partnership, a corporation, or other entity, the undersigned guarantor or guarantors each hereby contract and guarantee to CK South the faithful payment, when due, of all accounts of said applicant for purchases made within five years next after the date of this application. The undersigned guarantor or guarantors each hereby expressly waive all notice of acceptance of this guarantee, notice of extension of credit to applicant, presentment, and demand for payment on applicant, protest and notice to undersigned guarantor or guarantors of dishonor or default by applicant, extension of time of payment to applicant, acceptance of partial payment or partial compromise, all other notices to which the undersigned guarantor or guarantors might otherwise be entitled and demand for payment under this guarantee. Any revocation of this guarantee shall be in writing and delivered to CK South.
   
*Name:
*Date:

* I certify that I have read and agree to the Terms of Sale and the Personal Guarantee set forth by CK South.

By submitting this form, I certify that this information is true and correct to the best my knowledge. Additionally, I understand and agree to the above terms and hereby authorizes CK South, Inc. to investigate and verify the information submitted herein to determine our financial responsibility.