Business Credit Application

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Business info
Corporation
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Contact for Account
Trade Reference #1
Trade Reference #2
Trade Reference #3

CREDIT TERMS - NET 20 DAYS - Final Credit Terms to be granted and approved by Primemax Energy Inc.

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I understand past due accounts may be subject to interest charges at a rate of 2% per month, 24% per annum.

I agree that the information given above is accurate and complete.

I authorize PRIMEMAX ENERGY INC. to conduct credit checks or obtain any information required to establish or verify my financial standing for the purpose of this credit application. I also agree to comply with the terms and conditions of sale as stated above.

In compliance with the Privacy Act, this information is not distributed to any other party, or used in any other way, except for the purpose stated above. This information is considered private and confidential.

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