Common Contracts
2 similar Membership Application & Credit Agreement contracts
Membership Application & Credit Agreement*Membership Application & Credit Agreement • December 7th, 2017
OFFICE USE ONLY Primary Applicant & DBA Name Approved: Yes No Credit Limit: Rec’d by: Producer: Yes No Acct #: Date:Sales person: Individual Name: DBA Name: Mailing Address: City, State Zip: Social Security #: Home Phone: Mobile Phone: Fax Number: Email Address: Date of Birth: Marital Status:Employer: Phone:Position:Income/Month:(take home) How long: Name & Address of nearest relative not living with you:Name:Address:Relationship: Phone: Account Information: Credit Status: Charge Cash Type of account applying for:Individual Joint Sole ProprietorshipPartnership DBA Corporation Product(s) purchased: Refined Fuel GrainFeed Agronomy Heating Oil PropaneMonthly Credit Cardtrol Cards: How many? Limit Requested $ Business/Farm Information Business Name:Mailing Address:City, State Zip: Delivery Address: City, State Zip:Tax ID #:Main Phone: Mobile Phone: Fax Number: Email Address: Type of Operation Secondary Applicant Hogs: Beef: Dairy: Poultry: Cash Crop: Other: Do you have crop insurance
Membership Application & Credit Agreement*Membership Application & Credit Agreement • June 11th, 2010
OFFICE USE ONLY Business/Farm Information Approved: Yes No Credit Limit: Rec’d by: Producer: Yes No Acct #: Date:Sales person: Business Name: Mailing Address: City, State Zip: Delivery Address: City, Sate Zip:Tax ID #:Main Phone: Mobile Phone: Fax Number: Email Address: Account Information: Credit Status: Charge Patonage (cash only) Type of account applying for:Individual Joint Sole Proprietorship Partnership DBA Corporation Type(s) of product(s) purchased:Feed Agronomy Heating Oil Propane Monthly Credit Cardtrol Cards: How many? Limit Requested $ Primary Applicant & DBA Name Secondary Applicant Individual Name: Individual Name: DBA Name: Mailing Address: Mailing Address: City, State Zip: City, State Zip: Social Security #: Social Security #: Home Phone: Home Phone: Mobile Phone: Mobile Phone: Fax Number: Fax Number: Email Address: Email Address: Business and Credit Information How long at current address? How many animals? Do you have crop insurance?If yes, name of insurance c
