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Mighty Crane Service

5836 S. Pecos Road
Las Vegas, NV 89120
Phone: (702) 280-6501 Fax to: (702) 873-8606

Credit Application Date_____________

( ) Corporation ( ) Partnership ( ) Other ___________________________

Address:________________________________________________________________

City________________________________ State_______ Zip ____________________

How long has company been in business:______________________________________

Name of person in charge of paying accounts:__________________________________

Phone: ( ) __________________________ Fax: ( )_________________________

Trade References (Firms you buy from on an open account)

Firm Name Address Phone Fax

1______________________________________________________________________

2______________________________________________________________________

3______________________________________________________________________

PAYMENT TERMS ON ALL MIGHTY CRANE SERVICE INVOICES ARE NET 30 DAYS .

An additional 1.5% interest charge will be charged on all amounts not paid within 30 days after due date both before and after judgment and continuing each month until paid. In the event of default, the undersigned agrees to pay all costs of collection and attorney's fees whether hourly or contingent together with cost of court and further agrees that any legal action hereunder may be brought in Las Vegas, NV. No terms or conditions hereof may be changed except by written consent of Mighty Crane Service. All sums due for goods and/or services purchased by, or on behalf of the undersigned are payable to Mighty Crane Service 5836 S. Pecos Road, Las Vegas, NV 89120.

The undersigned warrants that he/she has authority to execute the Open Account Agreement and to bind said company to the terms contained herein.

I/we understand, acknowledge, and accept Mighty Crane Service terms of sale and certify that the information given herein is true and correct.

I/we hereby authorized you or your agent/representative to secure a credit report and agree to the release of credit information. This authorization shall be continuing without expiration and a photocopy or fax copy shall be given the same effect as the original.

Company Name: _________________________________________ Date____________

Signed: _________________________________________ Title: __________________