Credit Application 1350 Concourse Ave Ste 103

Memphis, TN 38104
creditapplication@nexair.com Phone 800-315-1365

General Information
Existing Customer? YES If applicable, existing customer number ________
nexAir Sales Representative Name (if applicable) __________________________
Short Description of Product(s) to be Purchased _____________________________________________________
ACETYLENE GAS

Credit Limit Request ________________________

USD 350,000.00 OR Request for Account to be Charged Automatically by Credit Card

Company Information
Business Name ___________________________________
DAVID JAMES ENTERPRISES LIMITED DBA Name (if applicable) ___________________________
Billing Address________________________________________
162 SCHOLES VILLAGE City_____________________
ROTHERHAM State _______
ROTHERHAM Zip ______
S61 2RQ

Perferred Invoice Delivery Method EMAIL X MAIL Invoice Delivery Email Address _______________________________
ACCOUNTS@DAVIDJAMESENTERPRISES.CO.UK

Accounts Payable Contact Name _____________________________

DAVID JAMES AIREY Accounts Payable Contact Phone ____________________
+44 7404 345879

Email (if different from above) ________________________________

Business Name for Delivery ____________________________________

DAVID JAMES ENTERPRISES LTD

Shipping Address______________________________________
PLOT 7 INDUSTRIAL AREA UGANDA City_____________________
KAMPALA State _______ Zip ______
Delivery Contact Name ________________________________________
SSENKOTE ABDU Delivery Contact Phone ___________________
+256 781189647

Delivery Email Address _________________________________________

DAVIDJAMESENTERISESLTD@GMAIL.COM

Purchase Order Required? YES X NO

Will you act as guarantor for purposes of securing credit? YES NO X Social Security # for guarantor ____________________
Tax Exempt? YES NO X If yes, please attach Sales Tax Exemption Certificate with Credit Application
Purchasing Medical Gas? YES NO X If yes, please attach copy of Medical License with Credit Application
If you wish to receive or view invoices, proof of deliveries, or submit payments via internet, go to www.nexAir.com and enroll in nexAir eCommerce

The above information is for the purpose of obtaining credit and is warranted to be true. I/We hereby authorize nexAir, LLC to whom this application is made to investigate matters pertaining to my/our
credit and financial responsibility. Applicant’s signature attests financial responsibility, ability, and willingness to pay our invoices in accordance with the following terms.

Credit Terms are NET 30 DAYS from date of invoice

TERMS AND CONDITIONS: Buyer agrees to return all cylinders promptly when empty to point of delivery. On all cylinders not returned at the end of the month, buyer agrees to pay seller cylinder
rental at the prevailing rate per month. The buyer shall pay promptly on demand for loss or damage to any cylinder(s) of fittings resulting from any cause while in the control or possession of the buyer.
Empty cylinders returned subject to inspection at plant. It is agreed and understood that the title of the above-described property remains in the hands of nexAir, LLC until fully paid for. Buyer grants the
seller a security interest in any goods or services sold to buyer. Upon approval of this credit application and your granting credit to me to me, I agree: To pay the balance due on my account in accord
with the terms shown on my invoice/statement within 30 days of invoice date of each calendar month following the date of purchase. If I fail to pay the full amount of all purchases and services within
30 days of invoice date of the month following the date of purchase, I understand that no additional credit may be extended on this account when it becomes 90 days past due. I or we, hereby agree
to pay in addition to the charges indicated hereon, any service charge that may be imposed of 1-1/2% per month (18% per year) or the highest rate permitted by law on all past due accounts, and
reasonable attorney’s fee and cost of collection in the event it is necessary to place this sale in the hands of an attorney for collection. It is agreeable that the courts of Shelby County, Tennessee, are
proper venue for any action to collect applicant’s account. It is also agreeable that the laws of Tennessee, without regard to the conflict of law rules, shall govern all matters related to this account.
No merchandise may be returned without our authorization and, if returned, will be subject to 20% handling charge. Returned checks will be subject to a handling fee established by nexAir’s current
financial institution. Returned checks can also result in loss of charge privileges. Remittance address is P.O. Box 125, Memphis TN 38101

Printed Name __________________________________________

DAVID JAMES AIREY Title _______________________________
DIRECTOR

Signature ______________________________________________ Date ______________________________

18/01/2024