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Credit Application

Cardiac Life offers a credit option for retail customers who's like billing terms on future orders. Fill out the application and we will contact you shortly.

     
 



SUPPLIER REFERENCES (MININUM THREE, FAX NUMBERS REQUIRED)

If not subject to sales tax, please include your resale or exemption certificate. Late payments may result in loss of discount pricing. Valid purchase orders are required for shipment. You agree to pay all invoices Net 10 days. Invoices unpaid eleven days after invoice date shall be subject to a finance charge of 1.5% per month. You hereby certify that all information provided is true.