ACCOUNT APPLICATION

TERMS: 30 DAYS FROM THE DATE OF INVOICE. SERVICE CHARGES OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS

I agree to pay according to the above terms and to be liable for all service charges (currently at the rate of 1.5% PER MONTH, 18% PER ANNUM) on any amount still outstanding beyond the end of the month following the purchase. Customer agrees that TITLE TO CYLINDERS WILL REMAIN SOLELY WITH TERRY SUPPLY COMPANY. Also, it is agreed that any collection or legal fees which are incurred by TERRY SUPPLY COMPANY in the collection of this account will be the responsibility of the undersigned.

This agreement constitutes a security interest in the equipment which are the subject of thereof. Lessee grants a security in, and a general lien upon the equipment and proceeds thereof. The lessee agrees to cooperate with the Lessor and expressly permits Lessor to execute and file financing statements and take such other actions as shall be required to perfect the Lessor’s security interest in the Equipment in accordance with this Agreement.