303.296.1666 2900 Walnut Street | Denver, CO 80205

Credit App

Fields marked with an * are required

Officers of Incorporation or Partners:

Terms on "Open Accounts" - Discounted on 10th day of the month following delivery. Due on the last day of month following delivery.

The Undersigned Hereby Authorizes Threewit-Cooper Cement Company to procure his/her individual consumer report relative to business, credit investigation on:

PERSONAL PAYMENT GUARANTEE

In consideration of the extension of credit from Threewit-Cooper Cement Company to or for the account of:

the undersigned (jointly and severally, if more than one) hereby guarantees payment of, an promises to pay to Threewit-Cooper Cement Company, upon demand and when due, any and all sums for goods sold and delivered.

Threewit-Cooper Cement Company is authorized to extend the payment time on any or all such indebtedness from time to time, without notice to, or consent of, the undersigned. No such renewal, extension, or agreement shall affect this obligation in any way. This guarantee is intended to be continuing. The undersigned waives any and all obligation on the part of Threewit-Cooper Cement Company to prosecute any such indebtedness or collection directly against above account before resorting to this guarantee.

The undersigned further agrees to indemnify and save Threewit-Cooper Cement Company harmless against all expenses, loss, damage or injury, including reasonable attorney's fees, incurred in collection of the above obligation.

TERMS

In the event of nonpayment or default, I agree to pay interest on the above account at the rate of 1.5% per month (18% annually), together with collection costs and reasonable attorney's fee as may be required to effect collection of this account.

© 2017 Threewit-Cooper Cement Co. All rights reserved. Web Design and Domain names by Web.com