EFTA00316055.pdf

ca\," Application for Credit Unless the applicant is a public corporation, please attach the the applicant's most recent financial statements to expedite credit approval. Please complete this form and Internal Use Only -Required Federal Tax ID # Account Executive return the completed Application Duns # Branch to your Account Executive, Branch Office or FAX to 281.618.3435 or Credit Amount Requested Domestic Account E-Fax to 832-550-2600. International Account NOTE: Signed original application must be on file to activate your account Company: Ownership: Address: Public Corporation Symbol City/State/Zip: Partnership. SS# Phone: Fax: I Other: Private Corporation E-Mail Type of Business! Years in Business/ #employees/ SIC code Parent Company (if applicable): Type of Business Address: Years in Business City/State/Zip: # of Employees Phone: City/State/Zip E-Mail SIC code Vendor Reference: Account: City/State/Zip Phone: Email Address: Vendor Reference: Account: City/State/Zip Phone: Email Address: Vendor Reference: Account: City/State/Zip Phone: Email Address: Bank Reference! Contact Account: City/State/Zip Phone: Email Address: Accounts Payable Mailing Address City/State/Zip Contact Name E-mail: Phone: Email Address: For purposes of credit approval, the undersigned as an authorized company representative certifies the accuracy of any financial statements provided and the information contained herein, agrees to the terms and conditions of service on Ceva's bill of lading and accepts the fol owing credit terms. 1) Invoices are payable upon receipt. Accounts with invoice balances not paid within 30 days of invoice date are past due. 2) Ceva Logistics reserves the right to suspend credit and or impose a 2% late payment penalty on past due balances. 3) All billing or invoice inquiries or disputes must be presented to Ceva within 180 days of receipt of invoice. All payment inquiries or disputes must be presented to the other party within 180 days of receipt of payment. My inquiries or disputes not presented within the time frames set forth herein shall be deemed waived. 4) Ceva may at any time offset any amounts owed or paid by the Customer to Ceva against any amounts owed by Ceva to the Customer, including, without limitation, unidentified payments and credits in the Customer's favor, duplicate payments by the Customer, and accounts payable to the Customer. 5) In the event the applicant fails to make payment, the applicant shall indemnify Ceva Logistics for any costs of collection, including, without limitation, reasonable attomey fees. By: Authorized Signature Print Name Tide Phone: Fax: Email: EFTA00316055