Barry Beecroft Fuel Distributors Ltd Credit Application and AgreementCredit Application and Agreement • March 19th, 2020
Head Office, Main Warehouse & 24hr Cardlock Lubricant Warehouse & 24hr Cardlock Lubricant Warehouse & 24hr Cardlock Lubricant Warehouse & 24hr Cardlock
ContractCredit Application and Agreement • January 6th, 2017
CREDIT APPLICATION AND AGREEMENT Individual Corporation Sole Proprietor Partnership Other: Registered Corporation Name: Date Business Commenced: Individual’s Name: Trade Style Name: (if applicable) Mailing Address: City: Prov/State: Postal/ZIP Code: Ship to address: Telephone: Fax: Type of Business: Est. annual purchases: Accounts payable contact: Sales contact: NAMES OF ALL OFFICERS, PARTNERS, OR PROPRIETOR: (Attach list if more than three) 1. Name: Title: 2. Name: Title: 3. Name: Title: SALES TAX: Canada G.S.T Registration #: PST/HST/QST #: (incl. Exempt form) USA State: (incl. Exempt form) INVOICING OPTION: (Receive my invoices by email) Email Address: BANKING INFO: Bank Reference: Account #: Contact: Address: Tel: Fax/Email: TRADE REFERENCES: (Preferably Steel or Other Key suppliers) Name: Tel: Fax/Email: Name: Tel: Fax/Email: Name: Tel: Fax/Email: Will financials be available with a confidentiality agreement? TERMS AND CONDITIONS AND ACKNOWLEDGEMENT The applicant a
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • January 29th, 2016
ContractCredit Application and Agreement • January 15th, 2013
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • October 11th, 2018
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • September 2nd, 2020 • Louisiana
□ Corporation Limited Liability Company Partnership Sole Proprietorship Other _ _ MAILING ADDRESS CITY STATE ZIP SHIPPING ADDRESS CITY STATE ZIP PHONE EMAIL ADDRESS
Trailer Wizards Ltd Confidential Credit Application and AgreementCredit Application and Agreement • March 30th, 2021
This Credit Application/Agreement to Trailer Wizards Ltd. must be fully completed, signed and returned before your credit request can be considered. This agreement governs all sales to you of Trailer Wizards Ltd. products/services on Terms and Conditions set forth by Trailer Wizards Ltd. Sales representatives or agents of Trailer Wizards Ltd. are not authorized to amend or change the terms of sale or other terms and conditions of this agreement.
ContractCredit Application and Agreement • February 19th, 2021
Credit Application and Agreement DateCredit Application and Agreement • July 29th, 2015
Rhode Island CREDIT APPLICATION and AGREEMENTCredit Application and Agreement • June 25th, 2024
The undersigned, who hereby represent that he/she/they have authority to execute this Agreement on behalf of the customer/applicant (“Customer”), acknowledge and agree to the following terms in consideration of extension of credit by BFS Group LLC (“Company”) :
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • October 20th, 2022
ContractCredit Application and Agreement • December 17th, 2019
CREDIT APPLICATION AND AGREEMENT Individual Corporation Sole Proprietor Partnership Other: Registered Corporation Name: Date Business Commenced: Individual’s Name: Trade Style Name: (if applicable) Mailing Address: City: Prov/State: Postal/ZIP Code: Ship to address: Telephone: Fax: Type of Business: Est. annual purchases: Accounts payable contact: Sales contact: NAMES OF ALL OFFICERS, PARTNERS, OR PROPRIETOR: (Attach list if more than three) 1. Name: Title: 2. Name: Title: 3. Name: Title: SALES TAX: Canada G.S.T Registration #: PST/HST/QST #: (incl. Exempt form) USA State: (incl. Exempt form) INVOICING OPTIONS: (Receive my invoices by email) Email address: BANKING INFO: Bank Reference: Account #: Contact: Address: Tel: Fax/Email: TRADE REFERENCES: (Preferably Steel or Other Key suppliers) Name: Tel: Fax/Email: Name: Tel: Fax/Email: Name: Tel: Fax/Email: Will financials be available with a confidentiality agreement? TERMS AND CONDITIONS AND ACKNOWLEDGEMENT The applicant acknowledges and
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • December 29th, 2023
This Application is required by Webb Concrete and Building Materials, Inc., for the purposes of evaluating credit applications and for establishing terms upon which credit may be granted. Neither this Application nor any extension of credit hereunder creates any continuing obligation on the part of Webb Concrete and Building Materials, Inc., its owners, agents, or employees. The applicant understands that Webb Concrete and Building Materials, Inc. reserves the right to terminate any extension of credit at any time, with or without notice, for any reason, and to change the terms by which credit is extended at any time, with or without notice, for any reason.
This Agreement Must Be Completed in Full and SignedCredit Application and Agreement • March 4th, 2011
City State Zip County Business Telephone Business Cell Business Fax FEIN/Social Security No. Business Website Address Business E-mail Address State Type and Nature of Business Ownership:
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • February 26th, 2021 • South Carolina
Applicant hereby applies for credit with Integral Rx, a department of J M Smith Corporation (“Wholesaler”). Applicant separately agrees to the terms of this agreement. Please fax the completed Credit Application to 864-586-7375 or email it to info@integral-rx.com.
CREDIT APPLICATION AND AGREEMENT Cust. CodeCredit Application and Agreement • March 27th, 2009
Principal Activities: Tax ID/SSN Contractor’s License No: Web Address: Form of Org: Proprietorship Partnership LLC Corporation State of Incorporation Date Established: Years Under Present Ownership / Management:
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • July 26th, 2013
CONTACT NAME FOR PAYMENTS TELEPHONE NUMBER FAX NUMBER EMAIL ADDRESS PROPRIETORSHIP PARTNERSHIP INCORPORATED TYPE OF BUSINESS/SIC NO. DATE BUSINESS STARTED PARENT CO. NAME AFFILIATED COMPANIES IF ANY ARE P/Os MANDATORY FOR ALL PURCHASES? YES: NO:
INDIVIDUAL/RESIDENTIAL CREDIT APPLICATION and AGREEMENTCredit Application and Agreement • January 21st, 2022 • Illinois
PRODUCTS TO BE PURCHASEDAgronomy Animal Nutrition Fuels Grain Propane CREDIT LIMIT REQUESTED PRIMARY APPLICANT FULL NAME SOCIAL SECURITY NUMBER DATE OF BIRTH CO-APPLICANT FULL NAME SOCIAL SECURITY NUMBER DATE OF BIRTH BILLING ADDRESS, CITY, STATE, ZIP PRIMARY ADDRESS?Yes No DELIVERY ADDRESS, CITY, STATE, ZIP (if different from above) EMAIL ADDRESS WOULD YOU LIKE TO SIGN UP FOR PAPERLESS INVOICES AND STATEMENTS YES NO PRIMARY PHONE NUMBER SECONDARY PHONE NUMBER WORK PHONE NUMBER PRIMARY APPLICANT EMPLOYER YEARS THERE GROSS ANNUAL SALARY CO-APPLICANT EMPLOYER YEARS THERE GROSS ANNUAL SALARY PRESENT SITUATIONRent Own YEAR(S) AT ADDRESS LANDLORD’S NAME LANDLORD’S PHONE NUMBER PRESENT SUPPLIER SUPPLIER ADDRESS SUPPLIER PHONE NUMBER CURRENT BANKING INSTITUTE BANK ADDRESS BANK PHONE NUMBER NEAREST RELATIVE NOT LIVING WITH YOU RELATIONSHIP TO APPLICANT CONTACT NUMBER FOR PROPANE USERS ONLY HOW DID YOU HEAR ABOUT US Is the tank: Owned Leased NOTE: If the undersigned has a separ
Trek, Inc. Credit Application and Agreement - USACredit Application and Agreement • February 6th, 2006
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • April 14th, 2020
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • May 14th, 2018 • Kentucky
The undersigned CUSTOMER is applying for credit with Mills Supply Co., Inc./Con-Quip (the "Company") and agrees to abide by the terms and conditions of the Company's standard contract. THE CUSTOMER CERTIFIES THE FOLLOWING CREDIT INFORMATION IS CORRECT, AND AUTHORIZES AND DIRECTS THE BANKS AND SUPPLIERS INDICATED BELOW TO VERIFY SAID INFORMATION AND GIVE ADDITIONAL REQUESTED INFORMATION TO MILLS SUPPLY CO./CON-QUIP, INC. UPON REQUEST AND RELEASES SAID PARTIES FROM ANY LIABILITY IN CONNECTION THEREWITH. THE CREDIT APPLICANT/CUSTOMER, THEIR LEGAL REPRESENTATIVES SUCCESSORS AND ASSIGNS HEREBY AGREE TO BE BOUND TO THE TERMS AND TO THE FULL PERFORMANCE OF THE COVENANTS ON THIS AND THE FOLLOWING PAGES OF THIS AGREEMENT. THE UNDERSIGNED FURTHER PERSONALLY GUARANTEE THE PERFORMANCE BY THE CUSTOMER, PURSUANT TO THE TERMS OF THE GUARANTY PROVISION AT THE END OF THIS CREDIT APPLICATION.
Credit Application and AgreementCredit Application and Agreement • August 26th, 2020
Federal and State laws require that any firm's credit terms be disclosed to customers whether or not customers plan to use such terms. Under these laws, sales on open account are classified as credit sales and Kugler Oil Company is required to qualify such accounts and make appropriate terms disclosures. Please read the following Infor- mation carefully. If you have any questions, your Kugler Representative or our credit department will be happy to answer them.
Trek, Inc. Credit Application and Agreement - CanadaCredit Application and Agreement • February 6th, 2006
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • February 18th, 2020
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • March 24th, 2014
CREDIT APPLICATION and AGREEMENT for the year 20__ (*) Required informationCredit Application and Agreement • June 12th, 2020
ContractCredit Application and Agreement • July 19th, 2016
The Shippers Supply ULC Credit Application and Agreement (the “Application”) is subject to and includes the terms and conditions hereinafter set forth which form part of the terms of the granting of any credit and the supply of any goods pursuant to this Application. By the execution of the Application, the applicant for credit noted on the face of the Application (the “Applicant”) agrees that these terms and conditions shall be incorporated in and form part of the Application under which credit is supplied and goods are sold by Shippers Supply ULC (“the Supplier”). The Applicant acknowledges having read all of the terms and conditions set out in this Application and understands and agrees with each such term and condition. Such terms and conditions are as follows:
TIP Fleet Services Canada Ltd. Confidential Credit Application and AgreementCredit Application and Agreement • December 20th, 2020
This Credit Application/Agreement to TIP Fleet Services Canada Ltd must be fully completed, signed and returned before your credit request can be considered. This agreement governs all Sales, Rentals, Repair Service and Leases to you of TIP Fleet Services Canada Ltd products/services on Terms and Conditions set forth by TIP Fleet Services Canada Ltd Sales representatives or agents of TIP Fleet Services Canada Ltd are not authorized to amend or change the terms of Rental or other terms and conditions of this agreement.
Credit Application and AgreementCredit Application and Agreement • August 26th, 2020
Federal and State laws require that any firm's credit terms be disclosed to customers whether or not customers plan to use such terms. Under these laws, sales on open account are classified as credit sales and Kugler Oil Company is required to qualify such accounts and make appropriate terms disclosures. Please read the following Infor- mation carefully. If you have any questions, your Kugler Representative or our credit department will be happy to answer them.
CREDIT APPLICATION and AGREEMENT for the year 20__ (*) Required informationCredit Application and Agreement • June 12th, 2020
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • June 16th, 2011
BUSINESS CONTACT INFORMATION Company Name: Line of Credit Requested: $ Primary Business Address: City: State: ZIP Code: Phone: Fax: E-mail: How long at current address? Date Bus. Est: Website: Type of Business: Blakely Rep (salesman): Billing Address (if different): City: State: ZIP Code: Shipping Address (if different): City: State: ZIP Code: Sole Proprietorship: Partnership: Corporation: Other: Owner/Principal Name: Title: SS# Owner/Principal Name: Title: SS# Owner/Principal Name: Title: SS# Purchasing Contact: Phone: E-Mail: Accounts Payable Contact: Phone: E-Mail: Send Invoices Via: Mail / Fax / Email (circle one) PO # Required: Y / N Side mark Required: Y / N BANKING INFORMATION Bank name: Bank address: City: State: ZIP Code: Phone: Contact name: Checking Acct #: Loan Account #: BUSINESS/TRADE REFERENCES Company name: Acct #: Address: City: State: ZIP Code: Phone: Fax: E-mail: Company name: Acct #: Address: City: State: ZIP Code: Phone: Fax: E-mail: Company name: Acct #: Address:
ATTN: AMT Sales RepresentativeCREDIT APPLICATION and AGREEMENT3150 SW 15th STREET DEERFIELD BEACH, FL 33442 TELEPHONE 954-427-5711 FAX 954-427-9688 WEBSITE WWW.AMT.COM COMPANY INFORMATION: COMPANY LEGAL NAME: COMPANY DBA, IF ANY: PHYSICAL ADDRESS:...Credit Application and Agreement • May 24th, 2017
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • February 10th, 2016 • California
I/WE (hereinafter “Customer” or “Applicant”) herewith make application to Plavan Commercial Fueling, Inc. DBA P-Fleet (hereinafter “P-Fleet”) for credit, or an increase reconfirmation of our existing account under this Credit Application and Agreement (hereinafter “Agreement”). The undersigned Applicant gives and grants P-Fleet, or its agent, permission to verify and re-verify all information stated herein at any time. Applicant hereby agrees that all credit granted and/or extended will be paid timely in accordance with P-Fleet’s normal terms. Applicant does affirm that all information is true and correct. PLEASE ANSWER ALL QUESTIONS. (If more space is needed, a continuation sheet may be attached.)
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • August 16th, 2023 • Oregon
APPLICANT INFORMATION LEGAL NAME OF BUSINESS OR APPLICANT’S NAME (Required) TRADE NAME FINANCE CONTACT NAME FEDERAL TAX ID OR SOCIAL SECURITY NUMBER (Required) CREDIT AMOUNT REQUESTED TYPE OF BUSINESS STRUCTURE (CHECK ONE): PARTNERSHIP CORPORATION SOLE PROPRIETOR_ COOPERATIVE LLC (Limited Liability Corporation) LLP (Limited Liability Partnership) OTHER HEADQUARTERS ADDRESS, CITY, STATE, ZIP BILLING ADDRESS, CITY, STATE, ZIP (IF DIFFERENT FROM ABOVE) SHIPPING ADDRESS, CITY, STATE, ZIP (IF DIFFERENT FROM ABOVE) TELEPHONE NUMBER EMAIL ADDRESS TAX STATUS (ATTACH COPY OF EXEMPTION CERTIFICATE OTHERWISE TAX WILL BE CHARGED: EXEMPT TAX LIABLE WEB ADDRESS
CREDIT APPLICATION AND AGREEMENTCredit Application and Agreement • March 2nd, 2015
CREDIT AMOUNTS REQUESTED Pacific Customs Brokers Ltd. Pacific Customs Brokers Inc. PCB Highway Sufferance Warehouse Net 15 Days $ Net 15 Days $ Net 30 Days $ Net 30 Days $ BASIC INFORMATION Legal Company Name Doing Business As Year Established Business Address TYPE OF COMPANY General Partnership Sole Proprietorship Limited Liability Company Corporation Individual Limited Partnership Other City Province / State Postal / Zip Code Country Mailing Address (if different) Type of Business / Industry City Province / State Postal / Zip Code Country Telephone Number Fax Number Email Website Company Incorporation # IRS / SS # Canadian Business GST#/HST# US Customs Bond # BANK INFORMATION Bank Name Address City Province / State Postal / Zip Code Country Telephone Fax Contact Name Contact Email
