CREDIT APPLICATION

Complete the on-line version of the Credit App below or CLICK HERE to print and complete, then fax to (405) 942-1748

* – Required Fields
 CUSTOMER INFORMATION
 NAMES OF PRINCIPLES
 TRADE / SECURED REFERENCES
 BANK REFERENCES
 ADDITIONAL INFORMATION
Accounts Payable Contact
Additional Contact
 LOCATION INFORMATION

IF SERVICE IS BEING REQUESTED FOR MEXICO, A MAQUILA CERTIFICATE
MUST BE SUPPLIED PRIOR TO SERVICE.

TERMS AND CONDITIONS

We agree to pay all invoices issued by Medley Material Handling Company according to terms. If any invoices should fall past due, we understand that there will be late fees and services charges applied that we will be responsible for. A $25.00 fee is charged on all returned checks. Any service or billing issues should be sent to Medley Material Handling Company in writing within 30 days of the original invoice date.We understand that all property and material belonging to Medley Material Handling Company remains.We authorize the vendors to release the necessary credit information to Medley Material Handling Company.I agree to the above terms.

PERSONAL GUARANTEE

In consideration of any extension of credit, loan, or other financial accommodation heretofore, now or hereafter made to *(“Account Debtor”) by Medley Material Handling Company, the undersigned hereby guarantees absolutely and unconditionally the prompt payment when due, and at any time thereafter, of all indebtedness and obligations of every kind and nature of Account Debtor to Medley, absolute or contingent, due or to become due, now or hereafter existing (the “Indebtedness”), and in addition, the undersigned agrees to pay all expenses, including attorneys fees and legal expenses, paid or incurred by Medley to collect the Indebtedness, or any part thereof, and to enforce the guaranty.The liability of the undersigned under the guaranty shall in no way be affected by any compromise, waiver, settlement, change, subordination, modification or disposition of the Indebtedness, and in order to hold the undersigned liable hereunder, there shall be no obligation on the part of Medley at any time to resort first for payment to the Account Debtor, or any other guarantor, and Medley shall have the right to enforce this guaranty irrespective of whether or not proceedings or steps are being taken against any partyprimarily or secondarily liable on the Indebtedness.The undersigned waives presentment, protest and notice of dishonor or default, notice of acceptance of the guaranty, notice of extensions of, credit or other actions taken in reliance hereon, and all demands and notices of any kind in connection with this guaranty of the Indebtedness. Medley, without notice of any kind, may sell, assign, or transfer any of the Indebtedness to a third party, and in such event, each successive assignee, transferee or holder or any of the Indebtedness shall have the right to enforce this guaranty for the benefit of such assignee, transferee or holder. This guaranty shall be binding on the heirs, legal representatives, successors, and assigns of the undersigned and shall insure to the benefit of Medley, its successors and assigns.

*Dated this *day of , *the year .

*GUARANTOR SIGNATURE (Digital Signature, please initial)

*GUARANTOR PRINTED NAME