MPI Credit Application

Use this form to complete your MPI Credit Application quickly and securely. Please fill out all form fields.

MPI Sales Rep

Credit Amount Requested ($ Amount)(Required)

Date(Required)

Company Name(Required)

Business Type(Required)

Address(Required)

Street Address City State ZIP Code

Phone(Required)

Fax

Cell Phone Number

Shipping Address

Street Address Address Line 2 City State ZIP Code

Please Send Invoices by:

Accts. Payable Email(Required)

Purchasing Dept. Email(Required)

Credit Requested By(Required)

Home Street Address(Required)

Street Address Address Line 2 City State ZIP Code

Home Phone(Required)

Cellphone

In Business Since(Required)

At This Address Since(Required)

Business Structure

Name of Partners or Corporate Offices, if applicable:

Name

Title

Address

Street Address Address Line 2 City State ZIP Code

2nd Partner or Corporate Office Listing, if applicable:

Name

Title

Address

Street Address Address Line 2 City State ZIP Code

Sales Tax Permit #

— OR — Fed. Tax ID #

Bank Reference:

Bank Name(Required)

Branch(Required)

Account #(Required)

Address

Street Address Address Line 2 City State ZIP Code

Trade References

(minimum of three references required)

1. Name(Required)

First Last

Phone(Required)

Email(Required)

Fax(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

2. Name(Required)

First Last

Phone(Required)

Email(Required)

Fax(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

3. Name(Required)

First Last

Phone(Required)

Email(Required)

Fax(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Consent(Required)

I understand the following and will abide by Terms and Conditions listed below:

1) MPI may refuse to extend credit to any Applicant for any reason which MPI deems to be appropriate

2) Applicant is responsible to notify MPI of any changes to authorized persons to place or pickup orders

3) Applicant is responsible to Notify MPI of any changes in ownership of your company

4) Applicant is obligated to pay MPI for any materials acquired on or by the due date set forth in any MPI invoice

5) Should the Applicant fail to make payment to MPI by the due date set forth on any MPI invoice, Applicant shall be subject to finance charges until balance is paid in full

5a) Finance charges are applied monthly on the 25th of the month at a rate of 1.5% per month or 18% per annum

6) MPI may unilaterally impose a credit limit on Applicants account with MPI

7) MPI may elect to alter credit limits and payment terms should the Applicant fail to make payment within the due date

8) Applicant shall keep MPI fully informed as to the specific location of the project where the materials in question are being used and shall not divert any of the materials to a separate project or for personal use without the express consent of MPI

9) If the project to which the materials in question are being furnished is a publicly-funded project, Applicant shall so advise MPI and shall furnish to MPI all bonding information for the project

10) If the project to which the materials in question are being furnished is a tribal project, Applicant shall so advise MPI and shall furnish MPI any and all information Applicant has with respect to the payment arrangements between the tribe, the general contractor and Applicant

11) If the project to which the materials in question are being furnished is a tax exempt project, Applicant shall furnish a Sales Tax Exemption Certificate to MPI at the time of ordering materials

12) Unless otherwise stated in writing, MPI may elect to apply any payments received from Applicant to Applicant’s oldest outstanding invoices

13) When MPI is requested to deliver materials, Applicant is responsible for any standard shipping charges or surcharges

14) In the event of delivery, Applicant shall provide MPI clear and specific instructions as to the manner, method and location of the delivery or have a representative present at the time of delivery to verbally give such instructions. Should Applicant not furnish MPI delivery instructions or not have a representative present at the time of delivery, Applicant authorizes MPI to use its best judgment as to how and where it should unload the materials

15) Applicant shall release, hold harmless and indemnify MPI from and against any claims or causes of action for property damage or personal injury which may arise out of MPI’s delivery of materials to a project

16) Applicant shall release, hold harmless and indemnify MPI from and against any incidental or consequential damages which allegedly occur in connection with MPI’s sale of materials to Applicant or Applicant’s work on a project and MPI shall not, under any circumstances, be liable for the same

17) Custom manufactured materials and special order materials shall generally not be returnable; at MPI may at their
discretion accept some custom or special order materials for return at a 35% restocking fee

18) A 20% restocking fee shall be assessed on any materials returned to MPI

Guarantor Agreement

We hereby jointly and severally agree to guarantee payments for all accounts due Metal Panels Inc. from above named corporation, partnership or proprietorship within 30 days from date notice is given. In the event payment is not made and this account is turned over to an attorney, we also agree to pay reasonable attorney fees charged for collection.

Signature (Type Name)(Required)

(The above typed name serves as a binding signature for this agreement.)

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MPI Credit Application

Use this form to complete your MPI Credit Application quickly and securely. Please fill out all form fields.

Name of Partners or Corporate Offices, if applicable:

2nd Partner or Corporate Office Listing, if applicable:

Bank Reference:

Trade References

Guarantor Agreement

Quick Links

Oklahoma Location

Kansas City Location

Use this form to complete your MPI Credit Application quickly and securely. Please fill out all form fields.

Name of Partners or Corporate Offices, if applicable:

2nd Partner or Corporate Office Listing, if applicable:

Bank Reference:

Trade References

Guarantor Agreement

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Quick Links

Oklahoma Location

Kansas City Location