Please complete this form, print it out and mail or fax it to
the location designated below. A signed, hardcopy of this
form must be received to complete the application. Please
contact your sales representative with questions.
The above information is for the purpose of obtaining commercial credit and is true, correct and complete. Creditor is
hereby expressly authorized to investigate the references herein listed. Applicants signature attests to applicants financial
responsibility, ability and willingness to pay Creditor invoices in accordance with invoice "Terms of Sale", and further
agrees that in the event of a dispute Olympic may institute an action for collection of any amount due from buyer in any
court of competent jurisdiction and buyer consents to jurisdiction and venue of the courts located in Cuyahoga County, Ohio.
Please print, sign and fax a copy of this for for immediate processing to: