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Credit Application Form
Attn: Credit Services
26411 Oak Ridge Dr., The Woodlands, TX 77380
Phone: 281.362.9988
Fax: 832.442.3365
E-mail: [email protected]
Company Information
Legal Name of Purchaser
Registered Office Address
City
State/Province City
Phone#
County
Zip
Fax#
Website
Incorporated in the state/country of
Parent Company
Applicant is a
Business Classification is
Airline
Subsidiary
Charter Operator
Employer Identification Number (EIN)
Division
Other
Private
Other
Federal Excise Tax Exempt
✔
YES
NO
If YES, Enclose Exemption Certificate
Key Office
Full Legal Name
Title
Physical Legal Address
City
State/Province City
Parent Company
Zip
Email
Fax#
Phone #
Applicant is a
County
Subsidiary
Division
Other
Trade References
COMPANY #1
Company Name
Contact Name
Address
City
Phone #
State/Province City
Email
County
Zip
Credit Application Form
Attn: Credit Services
26411 Oak Ridge Dr., The Woodlands, TX 77380
Phone: 281.362.9988
Fax: 832.442.3365
E-mail: [email protected]
Trade References
COMPANY #2
Company Name
Contact Name
Address
City
State/Province City
Phone #
Zip
County
Email
Bank Reference
Account Officer’s Name
Name of the Bank
City
State or County
Phone #
Billing Information
Full Legal Name
Title
Mailing Address for Invoices
City
Phone #
State/Province City
County
Zip
Email
Fax#
Operations Contact
Full Legal Name
Title
Mailing Address
City
Phone #
State/Province City
Fax#
County
Zip
Email
Credit Application Form
Attn: Credit Services
26411 Oak Ridge Dr., The Woodlands, TX 77380
Phone: 281.362.9988
Fax: 832.442.3365
E-mail: [email protected]
Aircraft
Please attach a copy of your most recent fleet list including aircraft types, registration numbers and Air Operating Certificate.
Financial Statements
In order to expedite your application, please attach a copy of your most recent audited fiscal year-end financial statement, including balance sheet, income
statement, and statement of cash flow. This information is essential to the extension of Credit. In the event the enclosed financial statements
are unaudited, please provide certification by a corporate officer having authority.
Application Processing
Please allow 5 working days for processing. An email will be sent notifying you when your account has been activated.
Terms of Credit– Associated Energy Group, LLC.
All reference in this document to “Seller” shall include any subsidiary, affiliate or division of Associated Energy Group, LLC., whether or not specifically identified herein. All sales
made by Seller are subject to the Terms of Credit herein and AEG’s General Terms and Conditions (a copy of which is available for review at http://www.aegfuels.com, or which
may be made available to Purchaser upon request), which shall prevail over any inconsistent terms of any purchase order or other document (“General Terms”). No terms and
conditions in any way altering or modifying the General Terms or any other term of Seller shall be binding upon Seller unless they are specifically authorized in writing by Seller’s
authorized representative. There are no terms, conditions, understanding, or agreements other than those stated herein, and all prior proposals and negotiations are merged
herein. Purchaser shall also be bound by all payment terms listed on any invoice.
Prices in quotations made by Seller, including sales, excise, and other governmental taxes or charge/fee, are subject to change without notice, and are not binding until accepted,
unless otherwise noted by Seller in writing. Price extensions when made are for Purchaser’s convenience only, and they, as well as any mathematical, stenographic or clerical
errors, are not binding on Seller. Any taxes now or hereafter imposed upon sales will be added to the purchase price. Purchaser agrees to reimburse Seller for any such tax or to
provide Seller with an acceptable tax exemption certificate.
Seller shall not be liable or required to perform any obligation if Seller’s performance is delayed or precluded by any conditions beyond Seller’s reasonable control, including, but
not limited to, governmental action, strikes, or other labor troubles, fire, force majeure, damage or destruction of goods, supplier’s shortages, inability to obtain materials, fuels,
or supplies, acts of God, or any other cause whatsoever beyond Seller’s control.
Unless otherwise stated on the invoice or other writing from Seller, payment terms are net 10 days. All payments shall be made in US Dollars and due in the form of cash, cash
equivalent, check, or money order. Seller may apply Purchaser’s payment against any open charges within Seller’s sole discretion. On past due accounts Seller may impose a
monthly finance charge to be one and one half percent per month or the maximum interest charge permitted to be charged by the law governing the account between Purchaser
and Seller. The finance charge stated herein shall continue to accrue after Seller obtains a judgment against Purchaser. The Seller has the right to exercise setoff or recoupment
when needed to satisfy an outstanding debt. All agreements between Seller and Purchaser (and any affiliate or subsidiary of Purchaser) shall be considered as one single
integrated agreement between Seller and Purchaser.
Purchaser agrees to pay Seller all costs and expenses of collection, suit, or other legal action, including all actual attorneys’ and paralegal fees, incurred through trial, on appeal,
or in any administrative proceedings brought as a result of the commercial relationship between them. Any cause of action which Seller may have against Purchaser may be
assigned by Seller.
Purchaser waives any and all privileges and rights, which Purchaser may have relating to venue. Purchaser and Seller agree that this document, any purchase order, quotation,
proposal or any other agreement between Purchaser and Seller shall be construed, enforced and governing in all respect by the laws of the State of Texas and the United States
of America. The parties consent to the exclusive jurisdiction of the State courts located in Texas and venue of any lawsuit or legal proceeding shall be in the District Courts of
Harris County, Texas, or the United States District Court of the Southern District of Texas, Houston Division.
Credit Application Form
Attn: Credit Services
26411 Oak Ridge Dr., The Woodlands, TX 77380
Phone: 281.362.9988
Fax: 832.442.3365
E-mail: [email protected]
Terms of Credit– Associated Energy Group, LLC.
Seller reserves the right to terminate or restrict any order upon notice to Purchaser. Seller’s extension of credit shall at all times be within the sole discretion of Seller.Seller
re-tains the right to curtail, modify or eliminate any credit availability or credit limit within its sole discretion. Purchaser certifies that it is solvent and that itwill immediately
advise Seller if it becomes insolvent. Purchaser agrees to provide Seller a certification of solvency on request. Purchaser agrees to send Sellerwritten notice of any changes
in the form of ownership of Purchaser’s business within five days of such changes.
Information provided will be used solely for the purpose of evaluating and maintaning the applicant’s credit by AEG’s credit staff and will be held in strict confidence.
Execution and submission of this Application shall serve as authorization to contact the banking and trade reference listed.
Signature & Authorization
Purchaser certifies it is solvent and capable of meeting its obligations hereunder, and that all information provided to Associated Energy Group, LLC. (“AEG”) (including
Purchaser’s attached financial statement) is true, accurate and complete. All such information has been submitted for the purpose of obtaining credit. Purchaser authorizes AEG
and/or its affiliates (“Seller”) to request credit reports from credit bureaus (including consumer reporting agencies) regarding their respective commercial or personal credit and
otherwise to investigate their respective creditworthiness before extending credit now or at anytime in the future. Purchaser also agrees to comply with all applicable bulk
sales laws. Purchaser agrees that all Terms of Credit set forth hereunder, as the same may be amended from time to time, shall apply to all sales and extensions of credit made
to Purchaser by Seller. Further, this credit application, including any addendums, amendments, or modifications, whether issued directly or indirectly by Seller is subject to
AEG’s General Terms and Conditions (“General Terms”), a copy of which is available for review at http://www.aegfuels.com, or which may be made available to Purchaser
upon request. By executing this application, Purchaser acknowledges review of the foregoing General Terms and accepts to be bound by same. Purchaser agrees that any
extension of credit shall be strictly subject to repayment WITHIN TEN (10) DAYS OF THE INVOICE DATE unless otherwise agreed upon in writing and stated
on the invoice. The Purchaser’s officer, director, agent and/or representative certifies that it is authorized to sign this Credit Application Form on behalf of Purchaser.
Printed Name
Signature
Title
Date
Signature & Authorization
Initial Credit Limit
Comments
Payment Terms
Received By
Effective From
Approved By
To