The above signed individual acknowledges that the above noted Principals have been made aware of this business purpose application for credit to Midwest Dental Financial or designee (and any assignee or potential assignee thereof) authorizing review of his/her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining bank & trade information for considering this application and subsequently for the purposes of update, renewal, or extension of such credit or additional credit and for reviewing or collecting the resulting account. A copy of this authorization shall be valid as the original. I understand that by providing our company's phone, fax, or email information, I consent to receive all phone, fax, or email communications sent by or on behalf of Midwest Dental Financial. By signature above, I affirm the identity of the respective individual(s) identified in the above application and acknowledge they have received authorization and notices of the application.