By the executions of this application I/we authorize you to obtain copies of the financial statments submitted to creditors. I/we further authorize and direct any of our creditors to release information on my/our accounts, including current balances, payment terms, security for loans and the status of the accounts. I/we further authorize that any of this information can be turned over to any firm or agency that is under contract with you to provide credit information or evaluation services.
We certify that all the information on this form is correct and valid. We fully understand your credit terms and agree to the proper payment in consideration of extended credit.