Credit Application

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  • Credit Application

    • 1

      Business Information

    • 2

      Ownership Information

    • 3

      Trade
      References

    • 4

      Bank
      References

    • 5

      Authorization

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    Business Information


    Business Information

    Contact Information


    Other Business Information


    Credit Information

    0%


    Ownership Information

    25%


    Trade References

    Please add three trade references

    50%


    Bank References

    75%


    Authorization

    We hereby apply for credit and affirm financial responsibility, ability, and willingness to pay invoices in accordance with published terms. The above information is warranted to be true and complete. We hereby authorize you to verify and collect information on us, including but not limited to bank references, trade credit references, consumer and/or commercial credit reports. We agree to pay all costs of collection and litigation on this account in accordance with the laws of the Creditor's State of Incorporation. We agree that all decisions with respect to the extension or continuation of credit shall be the sole discretion of the Creditor.


    I have read the terms and conditions stated below and agree to all of these terms and conditions.

    General Terms and Conditions

    1. 1%/10 Days, Net 30
    2. A service charge of 1.5% per month will be added to all amounts billed if not paid by the end of the month.
    3. No additional credit will be extended to past due accounts unless satisfactory arrangements are made with our credit dept.





    100%

    Credit Application