ࡱ> BDAq` bjbjqPqP D3::CRRRRRRRf 8" > f(f f f f f # # # prrr/44 $h-R "# -RRf f BdRf Rf ppRRf Z U,O J,DX0vRD# v T D1# # # --d# # # fff fff fffRRRRRR  CREDIT APPLICATION This application must be completed before credit can be approved. For C.O.D. Check complete section (A) only. For Net Terms complete sections (A) & (B). (Allow 2-3 weeks for processing) Arrangements can be made for shipments until such time as credit is approved. (A) Company name: d/b/a: Tax ID# Billing address: Shipping address (if different): Business Phone # : ( ) Fax # ( ) Type of products carried: Buyer: Type of Business : Corporation Proprietorship Partnership Date Business Established: Owner(s) Bank: Acct # : Address: Bank Fax # : Bank Phone: Bank Contact : I hereby authorize the above -named bank to release information: Please sign: Date: *Thank you - C.O.D. Check application is complete. (B) Please provide four trade references. These Companies MUST be currently providing your company with at least 30 day terms. Name Street Address City State Zip 1) 2) 3) 4) For each of the above companies please provide the following (Fax #'s will speed up processing): Acct. # Contact Name Phone # Fax # 1) 2) 3) 4) The undersigned agrees to pay any collection costs incurred to collect the amount balance, including reasonable attorneys fees. Past due balances will accrue interest charges at 1.5% monthly. Please sign and return: Date: Name (Print): Title: *Thank you - Net Terms credit application is complete. 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