*If yes, Please attach ST-105 form*
PRINCIPLE OFFICERS & PARTNERS
EMPLOYEES AUTHORIZED TO ACT ON MY/OUR BEHALF
In the event that any amounts invoiced to my company exceed the stated thirty (30) day terms, I hereby authorize
Black Shadow LLC to charge amounts past due more than thirty (30) days to the credit card below. I certify that | am
an authorized representative of the company with the power and authority to approve said credit card transaction. I
agree that affixing my electronic signature to this Agreement is the same as affixing my manual handwritten signature
for the purposes of validity, enforceability, and admissibility.
financial responsibility & credit terms
credit terms & conditions
Credit terms are net 30 days unless otherwise indicated. Any amount remaining unpaid after such date will incur a
late fee of 1.5% monthly on the unpaid balance until paid in full, plus all collection costs and attorney fees incurred to
collect unpaid. Black Shadow LLC reserves the right to (1) maintain, raise, or lower the credit limit on applicant's
account at its discretion, and (2) terminate this applicant's account at any time, in which case immediate payment of
balance in full will be required.
Returned material, like all other purchased material, should be paid for when due. We will normally accept returned
material under the following conditions:
1.A copy of the invoice is furnished.
2.The material is returned within 60 days from the date of the invoice.
3.The material is in new and resalable condition.
4.The material is a normally stocked item (not a special or custom order).
5.A 15% restocking fee.
6. If applicable, freight charges will remain imposed.
The buyer hereby grantsBlack Shadow LLC, a purchase money security interest in the equipment/materials
described in the invoices. To secure the debtor’s payment for equipment/materials, it shall remain the seller’s until
payment in full is made by the buyer. If the buyer defaults in such payment, the seller may declare all the sums
payable by the buyer hereunder immediately due payable and the seller may reclaim the equipment/materials and or
exercise all the rights and remedies of a secured party under the Uniform Commercial Code.
In consideration of the extension of credit, the undersigned agree(s) to be responsible for such indebtedness, as may
be incurred from time to time, together with collection costs and reasonable attorney fees. The undersigned hereby
certifies the information provided to Black Shadow LLC is true and correct to the best of his/her knowledge and
authorizes the release of information on this account for the purpose of extending credit. The undersigned certifies
that he/she is an authorized representative of applicant with both the power and authority to sign this agreement. The
undersigned agrees that affixing his/her electronic signature to this Agreement is the same as affixing his/her manual
handwritten signature for the purposes of validity, enforceability, and admissibility.
*Download the application form above if you wish to have a PDF version of this contract*
Submitting a credit application form is crucial to expedite the processing of credit requests for rentals. It is required before moving further with any rental requests.
Thank you! We will be in touch.
Please complete this form and return to Rhonda@blackshadowsealer.com. If Submitting
through regular mail, please send to: 1001 Dekalb Ave. Auburn, Indiana 46706.
Please include a copy of your certificate of liability insurance with this application.
Thank you for choosing to join Black Shadow!
