Credit Application

Billing Information:			Contact Information
Name			Name
Company Name			Company Name
Street Address 1			Street Address 1
Street Address 2			Street Address 2
City			City
State			State
Zip			Zip
Phone 1			Phone 1
	ex. 123-456-7890 x1234			ex. 123-456-7890 x1234
Phone 2			Phone 2
Email			Email
	user@hosting.com			user@hosting.com
General Information
Federal Tax ID	Company Type
	Individual Partnership LLC Corporation Non-Profit

Amount of Credit Desired $ dollars			Are Written PO's Required? Yes No
Banking Information
Bank Name	Name of Contact at Bank		Bank Phone with extension (if known)

Bank Address1			ex. 123-456-7890 x1234
Bank Address2
Bank City
Bank State
Bank Zip
Type of Account	Savings Checking
Account Number
Credit Card Information (credit card will only be used in case of deliquent account)
Credit Card Type		Account Number		Expiration Date
Visa MC Discover AMEX				/ (mm / yy) ex. 10/08
Is Billing Information for Credit Card same as Billing Information above? Yes No If NO please complete the following section
Name on Card
Credit Card Billing Street Address 1
Credit Card Billing Street Address 2
Credit Card Billing City
Credit Card Billing State
Credit Card Billing Zip
Terms and Conditions
Payment is due and payable in U.S. dollars 15 days from invoice date. Payments not received by the due date are considered past due. In addition to StageSpot, LLC undertaking any of the actions set forth in this Agreement, if any payment is not paid when due: (i) a late charge shall accrue equal to 7% (or the maximum legal rate, if less) of the unpaid balance per month; (ii) StageSpot, LLC may require a security deposit or other forms of security acceptable to StageSpot, LLC for any future orders; and/or (iii) StageSpot, LLC may take any action in connection with any other right or remedy StageSpot, LLC may have under this Agreement in law or in equity.
Acceptance and Approval
Submitting this agreement indicates your acceptance of the terms and conditions as stated. In addition, you authorize StageSpot, LLC to make any and all inquiries neccesary to process the Credit Application.