Earth Sun Moon Application for Credit

Name: Title: Name: Title:

Name: Account #: Phone: Fax:
Name: Account #: Phone: Fax:
Name: Account #: Phone: Fax:

PAYMENT TERMS - 1% 10, NET 30

• A late charge of 1.5% per month (18% per annum) will be charged on delinquent balances.
• Failure to pay within terms may result in loss of credit terms.

• I certify that all the information on this application is correct and that I fully understand your credit terms and agree to the proper payment in consideration of credit extended. I authorize Earth Sun Moon Trading Company, LLC to contact all references listed on this form for the sole purpose of obtaining information to assist them in determining my creditworthiness.
• This agreement includes the terms and conditions titled "Earth Sun Moon Terms" below.
• Please Electronically Sign (by typing your name below) agreeing to the following (or you may print and sign below). The undersigned, if not an authorized officer/agent of the company, personally guarantees the repayment of any and all debt.

EARTH SUN MOON TERMS

• Both parties agree that a digital copy of this document will be considered to be an original.
• A $30 fee will be charged for all checks returned for non-sufficient funds or any other reason.
• In the event of a breach of any of the terms of this agreement between Purchaser and Supplier, including but not expressly limited to the failure to pay sums owed to the Supplier when due, the Purchaser agrees to pay the reasonable attorney fees incurred by the Supplier in the enforcement of Supplier’s rights even though no suit or action is filed. In the event that suit is brought to enforce any part of the terms of sale herein, venue will be in Mercer County, Pennsylvania.