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Credit Application

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Come partner with us!

Follow the steps below to complete our Credit Application &  become part of the independent, quality over quantity centered movement that is AccuLab of Illinois!

We deliver wholesale optical lenses at a profitable price to you and your business.

AccuLab Credit Application
Company Information
Owners, Principals, and Officers
Trade References
Bank References

Credit Terms are 30 days from the date of invoice. Outstanding balances are subject to 1.5% per month interest. The undersigned authorizes and releases all banks, persons and companies listed on this application to furnish information and authorizes the checking of credit. The undersigned agrees to pay all collection costs, court costs, and legal fees incurred to collect delinquent balances. 

Personal Guarantee

In consideration for credit extended, the undersigned contracts and guarantees to the faithful payment, when due, of all accounts of the company seeking credit for 5 years from the date of this application. The undersigned guarantor expressly waives all notice of acceptance of this guarantee, notice of extension of credit, presentment of demand for payment and any notice of default by the company seeking credit and all other notices the guarantor might be entitled to. Revocation of the guarantee shall be in writing and delivered by certified mail.

Thanks for applying to volunteer with us! We'll get back to you soon.

You can also click on the .pdf icon below to download our Credit Application and email the completed form to

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