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Credit Application



Company Name:
First Name:
Last Name:
Address 1
Address 2:
City:
State:
Zip:
Tel:
Fax:
email:
Terms: ONLINE USER ACCOUNT INFORMATION
COMMERCIAL ACCOUNT TERMS AND CONDITIONS

Upon credit approval your account will be opened. SafeToClean.com will send you a billing

statement at the close of each month. Payment is due upon receipt of the statement. Accounts

with unpaid amounts over 30 days from the statement date shall be considered delinquent.

Delinquent accounts shall be subject to credit hold or cancellation. In the event that payment is

not made, you agree to pay all reasonable attorneys fees and court or other collection costs as

permitted by law. You may cancel your commercial account any time upon written notice to:

safetoclean.com.


Please direct all billing inquiries to:

SafeToClean

13900 Jog Rd  #203-132,

Delray Beach FL 33446

Phone Inquires: 888-51CLEAN  (888) 512-5326 or via email to:  sales@safetoclean.com

SIGNATURE AND ACCEPTANCE

I certify that the above information is compete and accurate to the best of my knowledge and I

agree to be bound by the terms and conditions herein. I agree to notify safetoclean.com of

any changes to the above information, or of any additions or terminations of authorized users

status. I hereby authorize the above named persons to charge to our account and I understand

that the above-mentioned company is responsible for all charges incurred by authorized user(s). I

further certify that I am authorized to enter into this agreement on behalf of the company applying

for this account.


Authorized Signature:
Date:
Title:


Text Area:



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