OPEN ACCOUNT APPLICATION AND AGREEMENTOpen Account Application and Agreement • April 2nd, 2021
In order to induce Tucson Rubberized Coatings, Inc. (hereinafter “TRC”) to extend open account credit to Customer to facilitate the purchase of TRC’s products, the parties agree to the terms on the following pages for the Open Account Application and Agreement.
ContractOpen Account Application and Agreement • January 22nd, 2021
Stillwater Sand and Gravel23495 Lakepointe Dr Clinton Twp., MI 48036Phone: 586.580.4300 Fax: 586.580.4295 OPEN ACCOUNT APPLICATION AND AGREEMENT Exact Legal Name of Business: Physical Address: City: State: ZIP Code: Phone: Fax: E-mail: Billing Address: City: State: ZIP Code: Principals/Officers: Name & Title: Name & Title: Type of Business and Federal ID#: Sole proprietorship: Partnership: Corporation: Other: Year Established: State of Incorporation: Taxable ______ Non-Taxable ________Form must be attached INVOICE AND BANK INFORMATION Contact Name for invoices: Telephone: Fax: E-mail: EFFECTIVE January 1, 2019, paper invoices will be an additional $0.25 per ton for processing. Bank name: Type of account: Account number: Contact Name and Phone: BUSINESS REFERENCES Company name: Address: City: State: ZIP Code: Phone: Fax: E-mail: Company name: Address: City: State: ZIP Code: Phone: Fax: E-mail: Company name: Address: City: State: ZIP Code: Phone: Fax: E-mail:
ContractOpen Account Application and Agreement • November 21st, 2019
APPLICATION AND AGREEMENT FOR OPEN ACCOUNT Order Pending: MAIL OR FAX COMPLETED FORM TO: YesNo ResaleLink • 75 Maxess Road • Melville, NY 11747-3151Fax: 216.649.3221 • Phone: 800.753.7997 Emal: resalelink@mscdirect.com ACCOUNT# BILLING INFORMATION (Terms Net 30 days from date of invoice) SHIPPING INFORMATION (if different from Billing)Company Name: Company Name:Legal Name if different: Attn: Attn: Title: Title: Address: Street Address: City, State, Zip: City, State, Zip: Tel# Main Tel# A/P Tel# Fax# Fax# A/P Fax# BILLING OPTIONSE-mail address: Net 30 COD Credit CardAre you listed with D&B? Yes No If yes, provide D&B/Duns# Federal ID# CORPORATE INFORMATIONPresident State in which you incorporated Vice President County in which you incorporated Controller/CEO # of Employees A/P Manager Years established TRADE/CREDIT REFERENCESName: Name: Name: Address: Address: Address: Phone # Phone # Phone # Fax # Fax # Fax # Contact Name: Contact Name: Contact Name: Account # Account # Account # PURC
ContractOpen Account Application and Agreement • May 20th, 2019
Great Lakes Aggregates, LLC Sylvania Minerals, LLC and Recycled Aggregates, LLC5699 Ready RoadSouth Rockwood, MI 48179Phone: 734‐783‐7400 Fax: 734‐379‐0311 OPEN ACCOUNT APPLICATION AND AGREEMENT Exact Legal Name of Business: Physical Address: City: State: ZIP Code: Phone: Fax: E-mail: Billing Address: City: State: ZIP Code: Principals/Officers: Name & Title: Name & Title: Type of Business and Federal ID#: Sole proprietorship: Partnership: Corporation: Other: Year Established: State of Incorporation: Taxable ______ Non-Taxable ________Form must be attached INVOICE AND BANK INFORMATION Contact Name for invoices: Telephone: Fax: E-mail: EFFECTIVE January 1, 2019, paper invoices will be an additional $0.25 per ton for processing. Bank name: Type of account: Account number: Contact Name and Phone: BUSINESS REFERENCES Company name: Address: City: State: ZIP Code: Phone: Fax: E-mail: Company name: Address: City: State: ZIP Code: Phone: Fax: E-mail: Company name: Address: City: S
