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11/30/2016 15:37 FAX 763�925700 MTI �j002/002 <br /> � ACCOUNT INFORMATION UPDATE PHotvE: 763.592.5600 <br /> F,4x: 763.592.5700 <br /> (For Schools,Municipalities,COb,�tc...� TOLL FREE: 800,362.3685 <br /> Fwc 800,36Z.5444 <br /> o i s T R i e u T i N � 4830 AZELIA AVENUE NORTH,SUITE 100 <br /> BROOKLYN CEN7�R, MN 55429-3831 <br /> Business Name: <br /> Billing Address: Business Phone: ( ) <br /> CitylState: Zip: Fax Number: ( i <br /> Shipping Address: Phone: ( ) <br /> Citp/Stat�: Zip: County: <br /> How long established: Numbar of employee6: Type of business: <br /> Sales Tax Status: Taxable Ex�mpt Tdx Exempt Number Tax Examnt Cartificate Reouired <br /> Legal enqty: Corpof�tion Partnership Proprietorshlp Qther <br /> Fedaral ID numbar: Your MTI Sales Representative <br /> What produc[(s)will y0u be buying? TORO: Irrigation Parts Commarelai <br /> OTHER: <br /> WOuld you like documenls fsxed,mailed,are•malled to you? (Pleabe GfYCI��il preference for each) Statemenffi7 Fax Mall E-mail <br /> (nvoice57 Fax Mail E•mail <br /> FaX to: ( ) E-Mall Addross: <br /> Do you require a Purchase Order7 Yes No <br /> Purchasing contact: Title Phone <br /> If wa havA a questlpn regdl'ding your aCCOunt,who should we contact? <br /> Name Tltle Phone <br /> MTI Distributing Inc.is authorized to Investlgste applicant's credit records and verliy the information given above. <br /> In consideratlon of uedlt extended to me, or members of my flrm, I (1Ne} dgr+9e to pdy my (ou� account in full axording to tertns specified on the <br /> inv�ice(s),and all handling/restocking charges. I (yVe)further agree to pay a service charge of 1-5%per month(18%annum or suGh oth�r maximum <br /> rate permitted by law}assessed on any past due portion of my(our)account. I(We)fuRhe�understand and agree that ir1 the 9vent my(our)account <br /> become6 dellnquent, I (We)wilf be responsible for payment o}CollectiOn costs and reasona6le attorney's fees incurred by you ff outside efforts are <br /> necessary to collect my(our)axount bafance. I(We)expressly agree as a paR of this Credit Application that I(We)will notify MTI Ois�ributing,Inc.In <br /> writing of any change in the ownership or mdflagement of the applicant company,ancl/0�Chdnqe in the legal identity of thB Cpmpany, and/or termination <br /> of the buslness and suCCession to the business operations by any other pe�6on o�legal entity. MTI Dlstrlbuting, Inc, reserves the right to revoKe Credit <br /> to the Applicant at M71 Di9tributing, Inc.'s sole discretlon�nd without notice. <br /> Date Signature <br /> Title <br /> � ' op..�oon. mtidistrlbuting.com <br /> ,Nfll is ctn Equu!nppor•rr�rilty'/Affi►�m�ul4���rt�,M r;m�rcr;-Nr <br />