ContractAccount Application and Agreement • November 25th, 2013 • Texas
Contract Type FiledNovember 25th, 2013 JurisdictionAccount Application and AgreementBell Supply Company (“CREDITOR”)P.O. Box 1597 Gainesville, TX 76241-1597Phone: 940-612-0612 TO BE COMPLETED BY CREDITOR’S EMPLOYEES: Credit Manager’s Approval/Date: Approved Credit Limit: Salesman Branch / Location Account Number: Business Information Account Applying For: Credit Account Cash Account Legal Company Name: Billing/Mailing Address: City/State/Zip: Ph: Fax: A/P Email: Type of Business: Date Business Started: Business Operates as:Corporation Partnership Limited Liability Proprietorship Other: Estimated Monthly Purchases: Required? (Check all that apply) PO AFE Well/ Lease Job # MTR List Name(s) of Owner(s) or Corporate Officers, Individual Titles: Tax Exempt? If Tax Exempt, Please Attach a Copy of Your Certificate to this Application A/P Contact Name & Telephone Number: BANK AND TRADE REFERENCES (Please attach a financial statement with the application) Bank Name: Account Number: Phone: Fax: Trade Reference: Address: Ci