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    Credit Application

    Thank you for your interest in McGuff Medical. To assist us in your request for credit, please thoroughly complete the form.

    Steps to complete the Application For Credit:

    1. Complete the 'Billing', 'Shipping', 'License', 'Business Type', 'Businesses You Currently Have Established Credit With' and 'Bank Information' Sections
    2. Print this form by clicking the 'Print' button or Save this form by clicking the 'Save PDF' button.
    3. Read and sign attestation
    4. Use one of three methods to submit this form to us:
      1. Fax completed and signed form to us at 1-714-540-5614
      2. Email us at
      3. Mail to: McGuff Company Inc. - Credit Application, 3542 West Lake Center Drive, Santa Ana, CA 92704-6987
    3524 West Lake Center Drive, Santa Ana, CA 92704
    (800) 854-7220
    (714) 540-5614 Fax

    Credit Application

    Bill To:

    Ship To:


    License Information


    Type of Practice



    Would you like additional information on any of the following?

    Help with Inventory Control
    Standing Orders
    Air Shipments
    Our Flexible Return Policy
    How to Reduce or Eliminate IV Freight Costs
    Sodium Content in Medications
    Literature on Magnesium Chloride
    Literature on Ascorbic Acid
    Standing Orders

    Technical Support

    Product Information
    Product Location
    Osmolarity Calculations

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    Business Information

    Bank Information


    Type of Business

    Sole Proprietor




    Credit granted and sales made will be on the following items

    1. Title to merchandise delivered to the undersigned does not pass to the undersigned until paid in full.
    2. All accounts are due and payable within 30 days of the date of invoice. Accounts not paid within such 30 day period will be past due.
    3. A service charge of the lower of either 1 1/2% per month or the maximum amount that is authorized by law will be made on the balance owing on past due accounts.
    4. If it becomes necessary to institute any action, whether it be commencement of a lawsuit or otherwise, to enforce collection of amounts due, the undersigned agrees to pay all costs of collection, including reasonable attorney's fees.
    5. In the event payment is not made when due, The McGuff Company, at its option, shall have the right to repossess merchandise delivered to the undersigned but not yet paid for without resorting to legal process. In the event of repossession and public or private sale, The McGuff Company shall have the right to recover any deficiency from the undersigned if the price received at such sale is not sufficient to pay amounts due.

    The undersigned (sole proprietor, partner, or corporate officer) acknowledges having read, understood and agreed to the terms contained herein.