NorthPoint Charge Account

NorthPoint Equipment Rentals, LLC

130 Main St. Ashland, NH 03217

603-375-4161

info@northpointrentals.com

Application for Credit

Applicant's Name:   __________________________________________________

DBA (if different from name above):  ___________________________________________

Physical Street Address (no PO Box numbers please):  ______________________________

City: State: Zip Code:   __________________________________________________

Mailing/Billing Address:   __________________________________________________

City: State: Zip Code:   __________________________________________________

Billing Contact Name: Email:   __________________________________________________

Main Phone #: Fax#: Cell #:   __________________________________________________

Federal Tax ID #: Tax Exempt: YES / NO if yes, provide completed resale certificate

Principal Officers, Partners or Individual Proprietor   __________________________________________________

Sole Proprietorship/Individual: Partnership: Corporation: Type of Corporation:

Name Title Home Address Phone   __________________________________________________

Name Title Home Address Phone   __________________________________________________

Bank References   __________________________________________________

Bank Name Address Phone   __________________________________________________

Bank Account # Account Type Contact   __________________________________________________

Business References   __________________________________________________

Name Address Contact   __________________________________________________

Account # Phone Fax   __________________________________________________

Name Address Contact   __________________________________________________

Account # Phone Fax   __________________________________________________

I/we certify that the information above is true and correct to the best of my knowledge. I/we authorize ABC Company to investigate the references and sources pertaining to the establishment of credit and financial responsibility of the applicant. Any changes to this application must be submitted in writing to the credit office of ABC, Inc.

Signature:                                                                                             Title:

Printed Name:                                                                                       Date:

Terms

NorthPoint Equipment Rentals, LLC (NorthPoint) terms of payment are as follows: Invoice is due and payable upon receipt. NorthPoint may assess a one and a half percent (1 1/2%) finance charge or the maximum lawful rate, whichever is less, on amounts left unpaid after 30 days. In the event the amount that you owe is required to be collected by an attorney, collection agency or other legal means, in addition to the principal and interest owing, you agree to pay all expenses of collection, including attorney's fees. Applicant's signature attests to the financial responsibility, ability and willingness to pay our invoices in accordance with these terms.

IF APPLICANT IS APPROVED BY NorthPoint Equipment Rentals LLC, APPLICANT AGREES THAT NorthPoint Equipment Rentals, LLC SERVICES ARE SUBJECT TO, AND APPLICANT AGREES TO BE BOUND BY, THE TERMS AND CONDITIONS PRINTED ON THE SIGNED SERVICE AGREEMENT AND ANY SPECIAL TERMS PERTAINING TO OR SPECIFIC SERVICE SHOWN ON THE INVOICE FOR SUCH SERVICE. APPLICANT REPRESENTS AND WARRANTS THAT HE HAS READ AND UNDERSTANDS THIS AGREEMENT.

Signature:                                                                                             Title:

Printed Name:                                                                                        Date:

Personal Guaranty

All Accounts MUST have a personal guarantor(s)

In consideration of credit to be extended to the Applicant the undersigned does hereby promise and personally unconditionally guarantees to NorthPoint Equipment Rentals, LLC or its assigns the payment of such sums of money as is now or may hereafter become due under this agreement to NorthPoint Equipment Rentals, LLC or any affiliated or related company for goods and services sold to Applicant. This guarantee shall not be impaired by extension of time or forbearance granted to the Applicant with respect to any credit now outstanding or hereafter extended to Applicant. The indebtedness and/or terms of this agreement may be modified at any time without notice to the undersigned as guarantor notice of demand, presentment, protest, notice of process or payment and/or default under this agreement. The undersigned agrees to pay principal, interest, reasonable attorney's fees and other collection costs allowed by law if it becomes necessary to enforce this guaranty by suit or any other legal means. The undersigned understands that NorthPoint Equipment Rentals, LLC need not seek payment from the applicant prior to collecting from the undersigned.

Guarantor's Signature:                                                                                                                     Guarantor's Signature:

Printed Name:                                                                                                                                  Printed Name:

Driver's License #:                                                                                                                            Driver's License #:

Social Security #:                                                                                                                             Social Security #: