CHECK ACCEPTANCE AND PERSONAL GUARANTY
Corporate Name__________________________________ Trade Name_________________________________
City_______________________________State______________________________Zip_____________________
Shipping Address______________________________________________________________________________
City_______________________________State______________________________Zip_____________________
Tel # ( )____________________Fax # ( )_____________________Cellular( )______________________
State of
Officers, Partners or Owners:
1.
2.
Home Address
Home Tel # DOB Sex
I, _________________________________ for and
in consideration of your accepting checks or extending credit at my request to
___________________________________(herein referred to as the
“Company”) of which I am _____________________
(Owner, Manager, etc) hereby personally guarantee to you, Gemico Inc., the payment of any obligation of the Company, and I
hereby agree to bind myself to pay you on demand any sum which may become due
to you by the Company whenever the Company shall fail to pay the same. It is understood that this guaranty shall be
a continuing and irrevocable guaranty and indemnity
for such indebtedness of the Company. I
do hereby waive the notice of default, non-payment and notice hereof and
consent to any modification or renewal of the credit agreement hereby
guaranteed. I further agree to pay any
reasonable attorney fees and court costs incurred in any efforts to enforce
payment of sums due by the Company, or to collect the same, governed by the
laws of the State of
A $25.00 bank
charge will be added to any account with a bounced check.
In the event of NSF or bad checks written to Gemico Inc. for goods ordered and
shipped to the corporate name above, the undersigned authorizes Gemico Inc. to bill charges to
following credit card #.
NOTICE: This Agreement must be signed and copies of Driver’s
License and Visa or Master Card attached before check approval or credit is
extended. (Faxed copies will not
be processed. Please send originals only)
Company: _____________________________ Signature:
________________________
Title ________________________________ Print Name:
________________________
Creditor Gemico
Inc.
By
__________________________________
Signature ______________________________