CREDIT APPLICATION, GUARANTY & MASTER SALES AGREEMENTCredit Application, Guaranty & Master Sales Agreement • June 22nd, 2012
Contract Type FiledJune 22nd, 2012Plumbing / HVAC Waterworks Fire & Fabrication New Applicant Update Mail: Attn: Credit Dept.Fax: 818.649.1645 514 Riverdale Dr.Glendale, CA 91204 A. APPLICANT (BUSINESS NAME OR NAME OF INDIVIDUAL IF SOLE PROPRIETOR) Name Phone Street Address Fax City State Zip Mobile/Pager Email Mark if Yes Yes Please send Applicant special offers and updates via email. B. PRINCIPALS/OFFICERS Title Name City/State Social Security # Birth date Phone Insolvency* / / / / * List the year of any bankruptcy or insolvency by principal/officer or any affiliated corporation, LLC, partnership or business. C. BILLING INFORMATION Billing Address (if different from above) Are Purchase Orders Issued? Yes City State Zip Are job names required? Yes Sales Tax Exemption # State PLEASE ATTACH AN EXEMPTION CERTIFCATE FOR CALIFORNIA Special Billing Instructions Federal Tax ID#/Employer ID# D. ABOUT YOUR COMPANY (ATTACHED FINANCIAL STATEMENTS FOR THE LAST TWO YEAR