| Morse Hardware & Lumber

MORSE HARDWARE & LUMBER, LLC

1259 Post Rd. Wells, ME 04090

Phone: (207)646-5700

Fax: (207)646-3644

Your Information

Your Name *

First, Last

Your Business Name *

Mailing Address *

Your Business Phone Number *

Your Cell Number *

Your Business Fax *

Names of Persons Allowed to Utilize this Account

Other than applicant

Person #1 *

First and Last Name

Person #2 *

First and Last Name

References of Local Lumber Yards

Reference #1 *

Fax #1 *

Phone #1 *

Reference #2 *

Fax #2 *

Phone #2 *

Reference #3 *

Fax #3 *

Phone #3 *

Our Terms

(This section must be signed and dated to process application) I understand that all payments are due in full by the 10th of the following month of purchase. No further charges may be permitted until all amounts are paid in full. I realize my account may be closed permanently at any time for nonpayment or payments received beyond the payment terms. Morse Hardware and Lumber LLC are authorized to check my bank and credit history at this time or any other time deemed necessary.

Signature (Typed) *

By typing your name and date you are agreeing that this is a legally binding contract.

Date *