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The undersigned on behalf of Firm noted on the face hereof hereby makes application for credit and provides the information contained herein and/or attached
hereto, which is warranted to be true and correct, for the purpose of including MIDCOM Data Technologies, Inc. to make periodic sales of goods and services
to Firm on credit. Firm authorizes MIDCOM Data Technologies, Inc. to verify with third parties any of the information concerning Firm submitted in this application,
including credit history, which information Firm understands that MIDCOM Data Technologies, Inc. is relying upon for the purpose of granting credit to Firm.
Credit may be extended on open account, by billing or invoicing, by C.O.D. terms based on any form of payment other than cash, or by any other method of
credit extension. If credit is so extended, Firm agrees that:
33493 W 14 Mile Rd
Farmington Hills, MI 48331
toll free: (800) 632-2664 fax: (248) 661-3920
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