Credit Application

General Information

Billing Address(Required)
Shipping Address (If Different From Billing Address)

MM slash DD slash YYYY
Officer Name
Officer Name
Officer Name

Partners

Type

Name
Address

Owner Name
MM slash DD slash YYYY
Address

PO # Required:

Trade References

Billing Terms

  • Net 30 days from date of invoice.
  • Past due invoices will be charged 1.5% per moth interest charge (18% annual rate).
  • Statements are sent via email.
  • Accounts are subject to closure if timely payments are not received.
  • All collection fees including attorney fees will be paid by the debtor and company.
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