Credit Application & Account AgreementCredit Application & Account Agreement • January 29th, 2021
BILL TO CORPORATE NAME SHIP TO NAME (DBA TRADE NAME) ADDRESS ADDRESS CITY / STATE / ZIP CITY / STATE / ZIP ATTENTION EMAIL ADDRESS EMAIL ADDRESS PHONE FAX
CREDIT APPLICATION & ACCOUNT AGREEMENTCredit Application & Account Agreement • November 30th, 2015
This signed letter will serve as full authorization for our companies to communicate with each other by fax, email, or any other common method of business-to-business communication.
CREDIT APPLICATION & ACCOUNT AGREEMENTCredit Application & Account Agreement • December 18th, 2017
This signed letter will serve as full authorization for our companies to communicate with each other by fax, email, or any other common method of business-to-business communication.
TERMS AND CONDITIONS: The individual, proprietorship, partnership, LLC, corporation or other entity ("Client") and each individual guarantor ("Guarantor") entering into this Credit Application Account Agreement (or opening a C.O.D. account) both...Credit Application Account Agreement • September 19th, 2013 • Utah
Credit Application & Account AgreementCredit Application & Account Agreement • April 10th, 2014
In the event Lippert Components, Inc. or any of it’s subsidiaries extend credit to the Applicant, the Applicant agrees to the following terms:
CREDIT APPLICATION COMMERCIAL & ACCOUNT AGREEMENTCredit Application & Account Agreement • May 9th, 2012
CREDIT APPLICATION & ACCOUNT AGREEMENT (Commercial Account)Credit Application & Account Agreement • March 27th, 2013 • Texas
Company’s Full Legal Name Phone: Fax: Street Address (required) City: State & Zip: Mailing Address (if different) City: State & Zip: Contact Person for Billing Matters: Title: Phone / Fax / Email: Years in Business: Purchase Order Required Yes No Type of Business Website URL: COMPLETE APPROPRIATE SECTIONS REGARDING BUSINESS STRUCTURE SOLE PROPRIETORSHIP / OWNERSHIP Name Birth Date Soc Sec # Driver’s License / State / #: Residence Address Years at Address Nearest Relative / Name & Relationship Phone: Address: Work Address Years at Address Prior Work Address Prior Business Names Spouses Name Birth Date Social Security # Driver’s License / State / #: COMPANY / BUSINESS ENTITY Business Structure: Q Corporation Q Limited Liability Company Q Partnership (check one) Q General Q Limited Q L.L.P. (Attach Copy of Formation Documents – Certificate of Formation, Partnership Agreement, Etc.) Officers, Members and/or Partners: Name: Address: Title Birth Date Soc Sec 1. 2. 3.
Credit Application & Account AgreementCredit Application & Account Agreement • July 21st, 2014
Please return your completed application and/or any questions to Miriam Sierra 813.769.5224 Fax: 813.623.3414 Email: miriam.sierra@sunstateintl.com
Sun State Credit Application & Account Agreement For Parts, Service & AftermarketCredit Application & Account Agreement • February 16th, 2018
CREDIT APPLICATION – ACCOUNT AGREEMENTCredit Application – Account Agreement • November 20th, 2015 • Utah
THIS APPLICATION IS VALID ONLY IF SIGNED BY OWNER/PARTNER/CORPORATE OFFICER ON REVERSE SIDE COMPANY NAME: PHONE #: ADDRESS: FAX#: MOBILE#: BILLING ADDRESS: A/P CONTACT: REQUESTED CREDIT LIMIT: A/P PHONE: A/P E-MAIL ADDRESS: OWNERSHIP: PROPRIETORSHIP PARTNERSHIP LLC CORPORATION—STATE DATE: DATE BUSINESS WAS STARTED: TYPE OF BUSINESS: FEDERAL ID#: DO YOU REQUIRE A PURCHASE ORDER: CONTRACTOR’S LICENSE #: SALES TAX EXEMPT? : NUMBER OF EMPLOYEES: RESALE #: WEBSITE: E-MAIL ADDRESS: OWNERS/PARTNERS/CORPORATE OFFICERS: NAME/TITLE: HOME PHONE #: SOCIAL SECURITY #: HOME ADDRESS: DATE OF BIRTH: 1. 2. 3. BANK REFERENCE: NAME: CHECKING ACCOUNT #: ADDRESS: LOAN ACCOUNT #: PHONE #: CONTACT NAME: FAX #: TRADE REFERENCES: 1. NAME: ACCOUNT #: ADDRESS: PHONE#: FAX #: 2. NAME: ACCOUNT #: ADDRESS: PHONE#: FAX #: 3. NAME: ACCOUNT #: ADDRESS: PHONE#: FAX #:
CREDIT APPLICATION & ACCOUNT AGREEMENTCredit Application & Account Agreement • October 9th, 2020
The undersigned Applicant and Purchaser (“Purchaser”) hereby applies and specifically requests the establishment of an open account from TBK Materials, LLC (“TBK”) for the purpose of purchasing goods and services on credit. The following information is provided for TBK’s consideration in the approval of the Application. The Purchaser understands that the submittal of this Application does not constitute a credit account until approved by TBK. Purchaser approves TBK to request credit references from trades, banks, and to pull credit reports from agencies for review and consideration in establishing open account.
