CFN Credit Application Cardlock Account Required Forms & Applications (1 of 3) Credit Application Please fill out the below form to submit a credit application. Alternatively, print and return the PDF Credit Application. Information Company Name Telephone # Fax # Billing Address City State—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinois IndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Street Address City State—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinois IndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Primary Contact Email Accounting Contact Email Preferred Method of Receiving Invoices:MailFaxEmail Year Established Nature of Business Type of Business:Sole ProprietorshipPartnershipCorporation Sole Proprietor / Partnership Name #1 Social Security # Address City State—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinois IndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Employer Employer Telephone # Spouse Name Spouse Social Security # Spouse Employer Spouse Employer Telephone # Name #2 Social Security # Address City State—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinois IndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Employer Employer Telephone # Spouse Name Spouse Social Security # Spouse Employer Spouse Employer Telephone # Corp. Officer Name Title Officer Name Title Officer Name Title Trade References Please list three current business references Name #1 Contact Address City State—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinois IndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Telephone # Account # Name #2 Contact Address City State—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinois IndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Telephone # Account # Name #3 Contact Address City State—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinois IndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Telephone # Account # Bank Reference Name of Bank Account # Telephone # Address City State—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinois IndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Misc. Current Provider of Petroleum Products Telephone # List Major Hauling Contracts and Phone Numbers CREDIT Amount Desired Authorization and Agreement Applicant authorizes Ramos Oil Co., Inc./Ramos Environmental Services, Inc. (Hereinafter “Seller”) or its assignee to make whatever inquiries it deems necessary in connection with this open account application and in the course of review or collection of any credit extended in reliance on this application. Applicant further authorizes any person or consumer reporting agency to complete and furnish to Seller or its assignee any information that it may have or obtain in response to such inquiries and agrees that such information, along with this application, shall remain Seller’s property, whether or not credit is extended. Applicant further warrants and represents to Seller that Applicant is doing business and is solvent. Applicant agrees to notify seller immediately if it becomes insolvent or otherwise unable to meet current obligations when due, and agrees to pay interest charges on all past due amounts at the rate of one and a half percent (1 ½ %) per month after maturity of invoice. Should any legal action become necessary to effect the collection of any credit extended in reliance on this application, the prevailing party shall be entitled, with respect to any such legal action, to reasonably attorney’s fees and costs, in addition to any other relief to which he may be entitled. Venue for purposes of the enforcement of any obligations incurred hereunder shall be Yolo County, California. A service charge of $10.00 will be charged for each check returned un-paid. This agreement shall not be effective until accepted by an authorized representative of Seller at its offices located at 1515 South River Road, West Sacramento, CA 95691. Facsimile signatures of applicant shall have the same force and effect as original signature. On execution hereof Applicant grants to Seller a security interest in the goods Applicant purchases from Seller. The security interest granted herein is a continuing lien on the goods until all Applicant account charges are paid in full and regardless of whether Applicant’s account balance may from time to time be $0. The security interest granted Seller shall survive commingling of the goods with goods supplied by others, if any, and shall extend to all accessions thereto and proceeds thereof. Proceeds shall include, but not be limited to, cash, checks, or deposits from credit card charges from the operation of Applicant’s business. Applicant acknowledges and agrees that Seller may file a UCC-1 Financial Statement evidencing the grant to Seller of the security interest described herein. Applicantacknowledges and agrees that in the event of default Seller shall have all the rights and remedies of a Secured Party under Article IX of the California Commercial Code including, but not limited to, the right to take possession of the collateral and dispose of it as provided by law. Terms of Credit: Cardlock Invoices are Due NET 15 DaysAll Other Invoices are Due According to the Terms Extended by the SELLER Signature (must be Principal, Officer, or Partner) Title Date Signature (must be Principal, Officer, or Partner) Title Date Continuing Guarantee Guarantor authorizes Ramos Oil Co., Inc./Ramos Environmental Services, Inc. (Hereafter “Seller”) or its assignee to make whatever inquiries it deems necessary in connection with this open account application and in the course of review or collection of any credit extended in reliance on this application. For the purpose of extending credit or of inducing temporary forbearance from collection of accounts of monies due at time hereof from the person of firm applying for credit, listed on the reverse side hereof, Guarantor hereby absolutely and unconditionally guarantees, on a continuing basis, the performance of the person or firm on the reverse side hereof applying for credit, and to whom credit is extended, including, but not limited to, the due and prompt payment of all present and future indebtedness, whether secured or unsecured and regardless of how the indebtedness is represented or incurred. Guarantor consents to any extension or alteration of any obligation and guarantees such without prior notice, demand or pursuit of remedies against the party primarily liable. This guarantee shall remain in effect until Guarantor has notified the creditor in writing of its cancellation, but such cancellation shall not alter any obligation of Guarantor arising hereunder prior to receipt of such written notice. Guarantor hereby further agrees to indemnify and save credit to harmless from any loss, damage, and expense caused by or arising out of any default on the part of such person or firm in making payment of any part or all such loss damage and expense. Guarantor further agrees to pay all reasonable costs, expenses, and attorney’s fees incurred in the enforcement of this continuing guarantee, or in the enforcement of any obligation as a result of the extension of credit, including but not limited to the collection of any past due indebtedness whether or not suit is filed. Facsimile signature shall have the same force and effect as original signature. Guarantor SS# Date Guarantor SS# Date {{#message}}{{{message}}}{{/message}}{{^message}}Your submission failed. The server responded with {{status_text}} (code {{status_code}}). Please contact the developer of this form processor to improve this message. Learn More{{/message}}{{#message}}{{{message}}}{{/message}}{{^message}}It appears your submission was successful. Even though the server responded OK, it is possible the submission was not processed. Please contact the developer of this form processor to improve this message. Learn More{{/message}}Submitting… Return to CFN Application Page