1080 W River Street Chippewa Falls, WI 54729 - Phone: 723-2828 or 1-800-828-9395 Fax 715-723-4733
(If less than two years at present address)
No provision of any marital property agreement, unilateral statement under S.766.59 Wis Stats., or court degree under S.766.70 adversely affects the
interest of the creditor unless the creditor, prior to the time the credit is extended or an open-end credit plan is entered into, is furnished a copy
of the agreement, statement or decree or has actual knowledge of the adverse provision. When the obligation to the creditor is incurred. For
Married Wisconsin Resident: If I am married, a Wisconsin resident, and applying for an individual account, I agree that credit extended under this
account if granted, will be incurred in the interest of my marriage or family. Terms: Purchases made during one month are due in full by the 23rd
of the following month. Open End Credit Disclosure: Any charges not paid by the 23rd of the month following the month of purchase will be subject
to a finance charge of 1.5% per month (18% Annual Percentage Rate) on unpaid balance. When two payments are missed within 12 month
period. Notice of default sent and time frame in place to resolve. In the event the Co-op initiates collection proceedings to collect amounts due on
open account, all costs of collection and reasonable attorneys' fees incurred or paid by the Co-op in order to collect the amount due shall be added
to the amount due and paid by Customer unless prohibited by law. This agreement applies to all unpaid charges incurred prior to the date of this
agreement and all future charges. Everything that I have stated in this application is correct to the best of my knowledge. I understand that you will
retain this application whether or not it is approved. You are authorized to check my credit and employment history and to answer questions about
your credit experience with me. By signing this application you are also guaranteeing any business debts to River Country Co-op will be covered.
I acknowledge that I have read and understand the preceding statement.