CREDIT APPLICATION AND PAYMENT AGREEMENT (Rev.9/1/2021)Credit Application and Payment Agreement • September 3rd, 2021
Contract Type FiledSeptember 3rd, 2021Business Name: Contact: Email: Street: Mailing Address: City: _ State: Zip: Phone: Fax: Would you like to receive your invoices electronically? if yes, please email my invoice to: Business Started: _ Type: Sole Proprietorship _ Partnership _ Corporation _ Dun & Bradstreet #_ Are you tax exempt? YES _ NO _ MUST BE ANSWERED, otherwise your application will be rejected.