Application for a credit facility To be completed by Supplier/ Sales Representative New Account Change of Address Close Account Change

of Title

To be completed by Customer Full Legal Title and Trading Name and address : ______________________________________________________________________________ Delivery Address Name: ______________________________________________________________________________ Street: ______________________________________________________________________________ Town: ______________________________________________________________________________ Country: ____________________________________________________________________________ Postcode: ___________________________ Phone Number____________________________________ Business Activity (please specify ___________________________________________________________________________________Method of Payment : Cheque Direct Debit: Cash Card other If other please specify: __________________________________ I/We____________________________________________________________________ request you to open a Credit Account in the name of______________________________________ With a Proposed Credit Limit of: _______________ per month and agreed the Credit Period as _________________ days Trade References I/We authorise you to take up references at any time from the under mentioned bank and trade sources (we will make searches with a credit reference agency, which will keep a record of those searches and will share that information with other businesses. We may also make enquiries about the principal directors with a credit reference agency.): Name __________________________________ Account Number ________________________________________________ Address_________________________________________________________________________________________________________ _________________________________________________________________________________________________________ 1. Contracts Acceptance by The alfares veterinary clinic and pharmacy, Al rumays, Barka, Sultanate of Oman (hereinafter called the Company), of any orders placed by the customer (hereinafter called the Customer) shall constitute a contract between the Company and the Customer upon subject to the following Terms and Conditions to the exclusion to the extent permitted by law of all other

warranties and conditions expressed or implied by law or otherwise. The company shall be deemed to have accepted an order upon delivery of the goods in performance of the order. The customer shall be deemed to have accepted the terms and conditions of the company by placing the order. Calls may be recorded or monitored for training and security purposes Details of Owner/ Partners/ Directors We have read, understood and retained a copy of your conditions of sale (including the retention of title clause) and agree to trade in accordance with these for any goods supplied. We accept that title to all goods supplied to us will remain vested in The alfares veterinary clinic and pharmacy until all amounts outstanding from us on any account have been paid in full to The Alfares Veterinary Clinic and pharmacy I/We also agree to comply with your settlement terms (specified within your conditions of sale). I/ we ____________________________________________________________________________ as the principal obligee submit the the post dated cheque with value _____________________ owed to Bank________________________________ as surety towards the credit given by the The alfares veterinary clinic and pharmacy to a maximum sum of OMR 1000/-(thousand omani riyal only) and I bind myself and my company towards the pending money which would be cleared monthly regularly. The above conditions of the Obligation is such that if the said obligation of monthly payment is not fulfilled by me, then The alfares veterinary clinic and pharmacy has full right to draw the due amount of the cheque owed to my bank. Payment Terms a) Payment is due by the end of the month following the date of invoice. The account will be deemed to be overdue in the event of non-payment by the date due. b) In case of non-payment of the account by the due date, orders will not be assembled without further notification. c) The Company reserves the right to charge the Customer interest at a rate of 2% per month for every month on the amount which remains overdue, as well as further legal and administration fees should the account default. Title of Goods a) Title of goods shall remain with the Company until payment for the goods has been received in full. b) The Company is entitled to retake possession of unpaid goods if: 1. The Customer has failed to pay for the same in accordance with Contract. 2. The Customer shall become insolvent or bankrupt I/We here by request The alfares veterinary clinic and pharmacy to open a credit account and authorised by company to do so. I, being an recognized citizen, do agree that payment of all accounts will be received by The alfares veterinary clinic and pharmacy within your stated terms. I/We appreciate that adherence to this obligation is essence of the contract between us. The applicant acknowledges having received a copy of The alfares veterinary clinic and pharmacy Terms & Conditions of Sale and agrees to all the conditions therein.

Signature: Name:

Date: Position: