*PLEASE FILL OUT THIS FORM COMPLETELY TO INSURE TIMELY PROCESSING OF YOUR REQUEST*
We require at least three trade references. Please include fax and phone numbers of the accounting
department. References can not be completed without fax numbers.
In consideration for credit being extended by Hydraulic Specialties Inc, the undersigned hereby jointly and severally guarantees complete and timely payment of all liabilities and obligations by the applicant whether the applicant is an individual, a proprietorship, a corporation or other entity. Furthermore, undersigned agrees to pay any service charges incurred in the amount of 1.5% per month for any balance remaining unpaid beyond 30 days. Applicant’s signature attests financial responsibility, ability, and willingness to pay invoices in accordance with above terms.