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Home / Help / Terms Net 30 Days Credit Application   My Favorites   


 
 
Business Information
Please complete all areas. You are applying for Net 30 terms. Upon approval all invoices are required to be paid within 30 days of dated invoice. 
* Credit Line Requested:
* Company Name:  
* Street Address:  
* Business Phone #:  
Fax #:  
Alternate #:  
* Years In Business:  
* Years At This Location:  
* (EIN) Tax ID #:  
Please list any variations of names to your business:
Owner/Officer Name:  
Address:  
Phone #:  
   
Owner/Officer Name:  
Address:  
Phone #:  
 
Owner/Officer Name:  
Address:  
Phone #:  
 
Has the firm or any of its Principles ever been bankrupt       Yes       No
 

Financial Information
* D&B# / Rating:    
* Name Of Bank:    
* Contact Name:    
* Bank Address:   * City: * State:   *Zip:
* Account #:    
* Type Of Business:   Proprieter    Corporation    Partnership  

References
List six trade references from whom you buy on open account and have purchased from in the past 12 months. Pre-payments, COD & credit cards are not considered open accounts.
     
1. Company:      
Address:     City:   State:   Zip:
Phone:      Fax:   Account #:
 
     
2. Company:      
Address:     City:   State:   Zip:
Phone:      Fax:   Account #:
 
     
3. Company:      
Address:     City:   State:   Zip:
Phone:      Fax:   Account #:
 
     
4. Company:      
Address:     City:   State:   Zip:
Phone:      Fax:   Account #:
 
     
5. Company:      
Address:     City:   State:   Zip:
Phone:      Fax:   Account #:
 
     
6. Company:      
Address:     City:   State:   Zip:
Phone:      Fax:   Account #:
 
  To complete this application please download our PDF Signature Form and fax it to 512 339 1521.

* I have read and understand the Terms & Conditions
 

 

 
 
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