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GPM Ripe inc. is hereby authorized to obtain information it considers necessary to process this credit application. The undersigned has authorized its bank to respond to our credit inquiries. By signing this request, I/we consent to pay the purchase price of goods and services within a period of thirty (30) days from the invoice date. The undersigned agrees to pay interest on overdue accounts at 24% per year or 2% per month.
Note: All above-mentioned information will serve to the credit department and will be kept in all confidentiality.