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New Account Authorization & Agreement 

Customer shall pay for the products ordered pursuant to the payment terms of net 30 days from the date of the invoice or as otherwise stated on each invoice. Customer agrees to pay any taxes resulting from purchases. If payment is not made to Modern Dental in accordance with the payment terms set forth, Modern Dental may add a 1.5% finance charge per month for any unpaid balance, and the Customer shall be liable to Modern Dental for all reasonable attorney fees and costs incurred by Modern Dental l to effect collection of any invoice unpaid in whole or part. In addition, Modern Dental reserves the right to suspend all future shipments until all payments have been received. Applicant’s signature attests financial responsibility, ability, and willingness to pay invoices in accordance with the agreement terms and asserts authority to apply for this account. By completing your New Account Application, you agree to these terms.