TERMS AND CONDITIONS

1. Authorization: All services performed by Commercial Transportation Adjustment Service, Inc. (“CTAS”) are subject to the regular schedule of rates being charged by CTAS for those services. This form authorizes CTAS to begin immediate collection against the Debtor named. Any and all payments made on the account after the date entered shall be deemed collected by CTAS and shall be due the applicable collection fee.

2. Information – Creditor consents to CTAS’s use of any information provided by Creditor in pursuing collection of the account, and represents and warrants to CTAS the truth and accuracy of the information provided.

3. Validity of Claim – Creditor represents and warrants that the Creditor’s claim is valid and lawful, in all respects, and arises out of a commercial account. A commercial account is defined as a claim against a corporation, partnership or proprietorship conducted as a business venture.

4. Attorneys – Creditor authorizes CTAS, as its Collecting Agency, if necessary, to forward accounts on Creditor’s behalf to attorneys for collection. On accounts forwarded to attorneys for collection, the attorneys are the agent of the Creditor and subject at all times to the Creditor’s direction and control. CTAS shall not be responsible for acts or omissions of such attorneys.

5. Hold Harmless – Creditor shall defend, indemnify and hold harmless CTAS, its agents and employees from and against any and all liability, loss, claims, demands, suits, actions, damages or expenses (including reasonable attorney’s fees) of every nature or description arising out of or resulting from any of the following: (i) any amendments to the schedule of rates for services being provided to Creditor by CTAS; (ii) the truth and accuracy of the information provided to CTAS by Creditor; (iii) the validity and lawfulness of Creditor’s claim against the Debtor; (iv) the Creditor’s claim against the Debtor arising out of a noncommercial account; and (v) any acts, omissions or claims of any attorney relating to any account forwarded by CTAS on Creditor’s behalf for collection.

6. Authorization to Endorse – CTAS is authorized to endorse in the name of the Creditor and to negotiate or deposit in any bank account of CTAS, any and all checks, drafts, bills of exchange or other for the payment of money payable or endorsed to the Creditor, which come into the possession of CTAS by reason of CTAS acting as Collecting Agent for the Creditor and to deduct CTAS’s authorized charges from these payments. In addition, CTAS will be entitled to a commission on all pay directs, merchandise returns or on accounts withdrawn pending collection.