I (We) understand that the information furnished on this page is for the purpose of obtaining business credit from Perry Office Plus, and do hereby authorize the above entities to release the credit reference information requested for such purposes. I am (we are) authorized, in my (our) capacity, to bind my (our) firm accordingly. All accounts or monies due Perry Office Plus shall be th due and payable at your place of business no later than the (10) day of the month following the date of the invoice.