ContractCredit Application and Agreement • August 16th, 2021
Contract Type FiledAugust 16th, 2021Credit Application and Agreement All fields indicated by an " * " are required fields and the application cannot be processed without them *Credit Amount Requested: $ *Monthly Purchases: $ Existing Account? NO YE Acct# *Purchase Order Required? NO YES Order Pending?: N YES Amount: $ *Branch: Branch Sales Rep: *Company Name: Doing Business As (DBA): *Mailing Address: *Shipping Address: *Phone: Fax: *Organization Type: *State/Province of Incorporation: * Business Type: Excavator Fencing Contractor General Contractor Golf Growers/Agriculture Hardscape Contractor Irrigation Contractor Irrigation Contractor Landscape Architect Landscape Contractor Other Landscape Maintenance Lighting Municipality/Government Plumbing Contractor Pump & Well Contractor *# of Employees: *Year Established: Federal Tax ID: *Annual Sales: $ *Tax Exempt or Resale/Other? NO YES If yes please include signed certificate or copy Applicant Contact Information *N