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Credit Application Form

Company Information

Parent, Affiliate or Subsidiary Companies

Bank References

Trade References

Principal Information

Principal Information (1)

Principal Information (2)

Principal Information (3)

Account Information


In consideration of MCI Holdings Ltd. granting credit facilities requested, the customer agrees to the following:

The CUSTOMER agrees to the above mentioned items. The Customer, and the undersigned individual, personally and individually, jointly and severally warrant that all information contained herein is true and accurate and that the undersigned individual is authorized to execute this application on behalf of the Customer. The Customer and the undersigned individual further personally covenent to promptly notify MCI of any material change in the Customers financial condition or credit worthiness. Furthermore, the undersigned individual hereby agrees to personally indemnify and save harmless MCI for all costs and expenses incurred (including legal fees and disbursements on a solicitor and his own client basis) by MCI arising out of or relating to this Credit Agreement and any supply of goods or rendering of services to the Customer by MCI.