High Tech Credit Computer Finance Order Form

By signing below, you are granting continuing permission to Rome Finance Company (GA), LLC ("ROME") for it to contact employers, COMMANDING OFFICERS or other senior military personnel, references, and credit bureaus to obtain information for use in determining whether to extend credit, adjust or increase credit limits, as well as for billing, collection, and credit counseling, and any other lawful purpose. In addition, you hereby grant each of such persons or entities permission to disclose all relevant credit data to ROME.

Yes

Please Check The Box Serving as an Initial That You have Read and Understood The Applicant Notice.

* FINANCING OPTIONS

This confidential Credit Application and Credit Agreement ("Application") may not be accepted or processed unless completely filled in. The purpose of this Application is to establish (or, in the case of an existing account, increease the credit limit of) your revolving credit account with ROME, which you are authorizing to satisfy the attached Purchase Agreement on your behalf. In considering this Application, ROME will rely upon the information furnished by you, and upon other information received. Please certify that all information in this Application is true and correct by initialing below:

Yes

Please Check The Box Serving as an Initial
That You have Read and Understood The Financing Option.

* FINANCE CHARGE

We figure the finance charge on your account by applying the periodic rate to the "adjusted balance" of your account. We get the "adjusted balance" by taking the balance you owed at the end of the previous billing cycle and subtracting any payments and credits received during the present billing cycle. If the entire balance is paid within 30 days of each credit extension there will be no finance charge, but if you elect to pay less than the entire balance, then you agree to pay a finance charge for all credit extended, computed on the adjusted balance as defined above, at the rate of .833% per month (10% Annual Percentage Rate). The term finance charge is defined by 12 CFR 226.4(a) but does not include late charges of $10.00 that you agree to pay if payment is not received within ten (10) days of due date, or bad check charges or penalties subject to applicable law.

-- Annual percentage rate for purchases: 10% APR 
-- Variable rate: N/A
-- Grace Period for repayment of the balance for purchase: 30 days
-- Method of computing the balance for purchases: Ending balance (not including new purchases)
-- Annual Fees: NONE
-- Minimum Finance Charge: $0.50
-- Transaction Fee for purchases: None
---- Cash Advance Fee: None
---- Over limit Fee: None
---- Late Payment Fee: $10.00

Yes

Please Check The Box Serving as an Initial
That You have Read and Understood The Finance Charge.

* TERMS AND CONDITONS

BILLING RIGHTS SUMMARY :: In Case of Errors or Questions about Your Bill; If you think your bill is wrong, or if you need more information about a transaction on your bill, write us [on a separate sheet] at [address] [the address shown on your bill] as soon as possible. We must hear from you no later than 60 days after we sent you the first bill on which the error or problem appeared. You can telephone us, but doing so will not preserve your rights. In your letter, give us the following information: Your name and account number; the dollar amount of the suspected error; describe the error and explain, if you can, why you believe there is an error. If you need more information, describe the item you are unsure about. You do not have to pay any amount in question while we are investigating, but you are still obligated to pay the parts of your bill that are not in question.
While we investigate your question, we cannot report you as delinquent or take any action to collect the amount you question.

DISCLOSURE OF REQUIRED CREDIT INFORMATION: The information about the costs of the credit described in this application is accurate as of July 2009. This information may have changed after that date. To find out what may have changed, write to us at 242 Culver Street, Suite 302, Lawrenceville, GA 30045, or see our website (If applicable)

THE FEDERAL EQUAL CREDIT OPPORTUNITY ACT prohibits Creditors from discriminating on the basis of sex or marital status. If married, you understand and represent that each spouse is the agent of the other for contracting and verification unless otherwise specified in writing.

You hereby grant ROME a security interest in all goods transferred by the attached Purchase Agreement, and agree to be bound by all the provisions thereof as well as the provisions of this Agreement. 

ROME is not the manufacturer or supplier of the goods that are the subject of the attached Purchase Agreement (the "Goods"), nor the agent thereof, and makes no express or implied representations or warranties as to any matter Whatsoever, including without limitation, the merchantability of such goods, their fitness for a particular purpose, their design or condition, their capacity or durability, or the quality of the material or workmanship of such goods, and ROME disclaims any such warranty. ROME is not responsible for any repairs or service to such goods, defects therein or failures in the operation thereof. You have made the selection of each item based on your own judgment. You shall be the beneficiary of, and shall be entitled to, all rights under any applicable manufacturer's or vendor's warranties or customer service agreements with respect to such goods, to the extent permitted by law, and you agree that you will rely on such warranties or customer service agreements for resolution of all issue relating to such goods.

Waiver, condonation or compromise of any breach or default shall not affect ROME's remedies or rights upon subsequent default, and you accept responsibility for all taxable and non-taxable costs and attorney fees incurred by ROME for collection, repossession or suit, and agree that this provision shall be binding on any receiver, court of dissolution or trustee under Title 11 U.S.C. , and that unless
ROME is notified by Certified Mail, all notices shall be deemed properly given if deposited, post paid to the addresses herein, and that this Agreement is severable, and if any part or provision is judicially severed the remainder shall not be affected thereby.

With the initial charge to your account, ROME will satisfy (by paying less than the amount financed) your obligation under the attached
Purchase Agreement. If you have not received all Goods within 30 days of purchase, you agree to inform ROME by Certified Mail.
After 60 days from extension of credit, unless you have so reported failure of delivery, ROME will not thereafter be responsible, and your sole recourse will be with the vendors, manufacturers or carriers.

Any dispute between the parties related to this Agreement shall come within the jurisdiction of the courts of Georgia, the jurisdiction where the Applicant signed the contract, and the jurisdiction where the Applicant resides. Rome may file suit in any of these three jurisdictions. Before filing any action related to this agreement in Georgia or in the jurisdiction where the Applicant signed the contract, Rome shall notify the Applicant of his or her right under this Agreement to require that Rome file such action in the jurisdiction where the Applicant resides. Rome shall deliver written, dated notice of such filing to the Applicant's last-known address at least 30 calendar days before filing the action, and shall give the Applicant at least 30 calendar days after notice is delivered to respond. Where authorized by law, you agree to pay all costs of collection, repossession, suit, attorney fees for enforcement, intervention, removal of stay, and that the same may be added to your account as incurred.

You understand that ROME may not issue credit without further assurance, and that your promise to pay by payroll deduction,
Electronic Funds Transfer, or other automatic means shall become part of this application, and ROME's reliance thereon shall be deemed both detrimental and prejudicial. You hereby authorize ROME to receive and apply Electronic Funds Transfer, or other automatic payment means, and request forms to initiate the arrangements with the appropriate bank or employer. The parties agree this Agreement shall be binding on their heirs, successors and assigns, and this is the entire Agreement, and that no other representation or promises have been made or relied on.

	The terms, conditions, and disclosures of this Agreement is executed under seal.
	Please enter your name as a signature. Example (John Doe). Note: Entering your name on the space below will serve as your legal signature for this form.	Please create an EASY TO REMEMBER passcode and WRITE IT DOWN. You will use this password to complete your application and to check your order status.
	* Signature:	* Passcode:
	(SEAL)	(13 Characters max.)

	I certify that the information I have provided is true and correct. I authorize HighTechCredit.com to verify any information included in this application or in other documents required to obtain the requested purchase. I understand that HighTechCredit.com is not a financial institution and may share this information with any lender it does business with to obtainloan approval for this purchase. I also authorize any party named in this application to provide any and all information requested, such as employment history, credit history, income history, income tax returns, and bank account balances if necessary. I understand that this does not obligate me to purchase the item if my credit application is approved.

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