APPLICATION INSTRUCTIONS
|
|
- Josephine May
- 8 years ago
- Views:
Transcription
1 APPLICATION INSTRUCTIONS Attached, you will find standard credit application packet. This packet has been prepared specifically for our new customers and also for existing customer credit reviews. Unless the attached forms are completed in their entirety, your application will not be processed. Remit to our secure server fax line (866) , mailing the original wet signature application to: THE FORMS Attention: Credit Department 900 Circle 75 Parkway, Suite 1500 Atlanta, GA Application for credit. a. Please read and sign the application (If a proprietorship, the owner must sign If sale takes place in a community property state, the spouse must also sign the application If a partnership, all partners must sign If a corporation, an authorized officer/principal must sign.) It is our policy to establish credit lines only after we have received a completed, signed application. b. Until a credit line has been extended, your account will be set up COD / Certified bank check, wire transfer, debit or credit card in advance. Authorization to obtain a consumer credit report. (This is mandatory if you personally guarantee the account.) If you do not wish to guarantee the account, please write Not signing as guarantor next to the signature. This will negate the guarantee. *** Taxes: Please attach your resale certificate/permit if applicable. *** Additionally, if you require a COD account, a separate application is attached. Please mark in the checkbox (right hand corner of the first page of the application) which division you intend to purchase from: a) Flooring b) VCM c) DecoFoil d) Sign & Graphic e) Autoskin f) Surfaces g) Wall Covering No personal information (SS# or residential address) is required if your company has a Federal Tax ID #. For a speedy assessment, please provide at least 4 trade references/companies that you have an open line of credit with. Please fax it to the credit department secure fax line If you have any questions regarding the application, please feel free to contact our credit team Monday through Friday, 8:00am through 5:30pm Eastern Standard Time at (678) and we will be happy to assist you. Thank you for partnering with our company, Lori D Addario Corporate Credit Manager Auto Deco Signs & Banners Surfaces Wall Covering VCM Flooring Divisions
2 [ ] Surfaces [ ] Flooring [ ] Deco [ ] Auto [ ] Sign & Banners [ ] VCM [ ] Wall Covering APPLICATION FOR OPEN LINE OF CREDIT (All accounts will be set up COD/Certified funds, debit or credit card until a line of credit has been approved.) Upon approval for an open line of credit, you will be notified by letter via facsimile. Denial of credit notification will be by UPS overnight delivery. Taxes will be billed to your account until a hard copy exemption certificate or resale certificate/permit is received in our credit department (fax no ) if applicable. No credit will be issued for sales taxes billed prior to receipt of document.
3 BUSINESS and BANK REFERENCES (Please furnish 1 bank reference and 4 credit references.) Bank Name: Phone: Acct # AGREEMENT AND CONTINUING GUARANTY The undersigned hereby makes application to ( LGHSAI ) for the extension of credit to: (Company) In the event LGHSAI approves this application and extends credit, Account Debtor promises, agrees and represents that it will pay all invoices of LGHSAI when rendered or when due. (Terms will be net 30 days from date of invoice.) In the event payment is not made in a timely manner and this account is referred for collection, the Account Debtor and the guarantors agree to pay all costs of collection, including any reasonable attorneys fees and costs, incurred by LGHSAI. Account Debtor and the guarantors also agree to pay interest and fees upon any delinquent amounts up to the maximum amount allowed under the laws of the State of Georgia. Account Debtor and the guarantors further agree that this agreement shall be governed by, and construed in accordance with, the laws of the State of Georgia and that the state, magistrate and federal courts of Cobb County, Georgia, shall have exclusive jurisdiction and venue over any claims arising from or related to the terms of this agreement. Account Debtor and guarantors hereby give LGHSAI permission to verify any and all information provided herein and agree to provide LGHSAI with financial statements and such other information as may be reasonably requested from time to time by LGHSAI. LGHSAI, Account Debtor and the guarantors represent and agree that they have read the entire contents of this agreement, and that this agreement represents the entire understanding and agreement between them and that no representations or agreements have been made with respect to those matters other than those contained in this agreement. No term, covenant, agreement or condition of this agreement may be amended or modified unless in a writing executed by all of the Parties. LGHSAI, Account Debtor and the guarantors further acknowledge that they are entering into this agreement freely and voluntarily, with a complete understanding of its terms, and that they have had an opportunity to review the terms of this agreement with counsel of their choice, if any. In consideration of the extension of credit by ( LGHSAI ) of 900 Circle 75 Parkway Suite 1500, Atlanta, GA to at (Company) ( Account Debtor ), the undersigned hereby (Address) gives our continuing unconditional guaranty of any and all indebtedness of Account Debtor to LGHSAI, now existing or subsequently incurred. This is a continuing guaranty, and until revoked in writing, it shall apply to any and all indebtedness of any kind. The undersigned hereby waives notice of acceptance, notice of non-payment, protest, and notice of protest, with respect to any and all obligations covered by this continuing guaranty. Applicant/Account Debtor: (If a partnership, please attach a separate sheet of paper reflecting all partner information. If you do not wish to personally guarantee this account, please write the words, Not signing as guarantor next to your signature and initial. This will negate the personal guaranty. For companies with a federal tax I.D. number, no personal information or social security no. on the principle of the company is required. By: (Principle/Officer Signature) Its: Guarantor Print Name Residential Address Telephone # Fax # Social Security # Guarantor (spouse) Print Name Residential Address Telephone # Fax # Social Security #
4 The undersigned gives consent to to obtain a consumer credit report to further assess the credit worthiness in respect to the undersigned as proprietor(s), partner(s), principal(s), member(s) and/or guarantor(s) in association with the extension of business credit as reflected on the undersigned s business credit application. I/we also give our consent for to gain access to a business credit report from time to time in correlation to the extension and/or continuance of the business credit corresponding to the credit application submitted. Signature: Date: Printed Name: Social Security No: Signature: Date: Printed Name: Social Security No:
5 APPLICATION FOR C.O.D. ACCOUNT LG HAUSYS AMERICA, INC. [ ] Surfaces [ ] Flooring [ ] Deco [ ] Auto [ ] Sign & Banners [ ] VCM [ ] Wall Covering *** Taxes will be billed to your account until a hard copy exemption certificate or resale certificate/permit is received in our credit department. (Fax no ) No credit will be issued for sales taxes billed prior to receipt of document. Payment terms on COD Accounts are Bank Certified check, wire transfer, debit or credit card in advance.*** Date: Contact Name: Billing Address: City, State, Zip: Telephone: Federal Tax ID # State of formation or corporation: How long in business: Company Name: Address: Shipping Address: City, State, Zip: Fax: State Resale/Permit No.: Type of Business: Ownership type: Corporation LLC Partnership Proprietorship MANAGEMENT OF COMPANY (Please attach a separate paper with additional names if partnership.) (Residential address and social security no. is required if your company does not have a Federal Tax I.D. Number.) President/CEO: Name Residential Address Telephone No. Social Security # Vice President: CFO: Name Residential Address Telephone No. Social Security # Name Residential Address Telephone No. Social Security # The undersigned hereby makes application to ( LGHSAI ) for the extension of credit to: (Company) In the event LGHSAI approves this application and opens said COD Account, Account Debtor promises, agrees and represents that it will pay all invoices of LGHSAI when rendered or when due by Certified check, money order, debit or credit card and agrees to pay the cost of collection, including reasonable attorneys fees incurred if warranted. Account Debtor also agrees to pay interest upon any delinquent amounts at the highest rate allowed under the laws of the State of Georgia. Account Debtor hereby gives LGHSAI permission to verify any and all information provided herein.
6 September 12th 2011 To Our Valued Customers: Please be advised that effective immediately there is a new corporate policy on all non open terms accounts (previous COD accounts) in respect to payment. Effective immediately, all orders will be paid in advance. There will be (3) vehicles of payment as follows: Credit or Debit card Certified Bank Check payable to LG Hausys (Your order will be released upon receipt of check at our Corporate office) o Check must specify : LG Hausys sales order number Your company name Your company address o Without the above information listed on your check, your order will not be released. o Check to be mailed to: LG Hausys Corporate Office Attention Pre payment division 900 Circle 75 Parkway, Suite 1500 Atlanta, GA Wire Transfer o Instructions as follows: Bank of America Beneficiary: Bank Address: 100 West 33rd Street, New York, NY ABA: Account #: Swift Code: BOFAUS3N We at LG Hausys thank you for your business and look forward to continuing the partnership between our companies. Best Regards, Lori D Addario Corporate Credit Manager 900 Circle 75 Parkway, Suite 1500 Atlanta, GA Main Phone: (678) Credit Fax: (866)
APPLICATION INSTRUCTIONS
APPLICATION INSTRUCTIONS Attached, you will find standard credit application packet. This packet has been prepared specifically for our new customers and also for existing customer credit reviews. Unless
More informationCredit Application. Thank you for choosing EverBlock Systems, LLC for your modular building needs.
Credit Application Thank you for choosing EverBlock Systems, LLC for your modular building needs. To enable us to process this application without delay, please fill out this form completely and return
More informationPlease Print, Complete, Sign and Fax to Sandra Barnett at (251)471-2423
Credit Application Please Print, Complete, Sign and Fax to Sandra Barnett at (251)471-2423 The following is an application for credit with AL-FLA Plastics Co., also known as creditor within the general
More informationCredit Packet Instructions
Credit Packet Instructions Southern Materials Company would like to thank you for your interest in doing business with us. We will do everything we can to deliver quality products and services to help
More informationIMPORTANT: PLEASE READ THE INFORMATION BELOW
3-7 Day Processing IMPORTANT: PLEASE READ THE INFORMATION BELOW COMMERCIAL CREDIT APPLICATION CORLISS RESOURCES, INC. PO BOX 487 SUMNER, WA 98390 PHONE: 253-826-8014 FAX: 253-501-1622 Listed below are
More informationADDRESS CITY STATE ZIP CODE CITY STATE ZIP CODE
CREDIT AGREEMENT FIRM Originating Location: Please remit application to: DATE TRADE S (If any) COMPANY FEDERAL ID# MAILING PHYSICAL STATE OF INCORPORATION PHONE FAX BUSINESS TYPE # YEARS IN BUSINESS (
More informationCREDIT AGREEMENT/APPLICATION
JSC Terminal, LLC, dba Midwest Terminal PO Box 959 / 725 N. 5 th Street Paducah, KY 42002-0959 Phone: (270) 442-0362 / Fax: (270) 444-6224 Legal Name of Business/Proprietor: Street Mailing Address (If
More informationCredit Application/Agreement. Company Name: Check one: Corporation Partnership Sole Proprietorship Limited Liability Co.
En-Net Services, LLC Phone: 301-846-9901 Fax: 301-846-9902 712 N East Street Frederick, MD 21701 Internet: www.en-netservices.com Email: administration@en-netservices.com Credit Application/Agreement Company
More informationREQUIREMENTS FOR OPEN ACCOUNTS NO EXCEPTIONS I. COMPLETE CREDIT APPLICATION FORMS 2. COMPLETE CHECK ACCEPTANCE FORM 3
REQUIREMENTS FOR OPEN ACCOUNTS NO EXCEPTIONS I. COMPLETE CREDIT APPLICATION FORMS 2. COMPLETE CHECK ACCEPTANCE FORM 3. ATTACH COPY OF ANNUAL RESALE TAX CERTIFICATE FOR SALE 4. IF SS# NOT LISTED ON CREDIT
More informationCOMMERCIAL CREDIT APPLICATION
COMMERCIAL CREDIT APPLICATION Please fill out this form completely so that we may serve you better. Business Name: Phone: : Fax: Sale Pending: Yes No Amount of Sale: Salesperson: Mailing Address: Shipping
More informationCREDIT DATA TRADE REFERENCES: Name Address Phone # Fax # 1. 2. 3. 4.
CUSTOMER PROFILE AND CREDIT APPLICATION 4143 County Rd 61 Phone 260-868-2645 Butler, IN 46721 Fax 260-868-2369 In order for Magic Coil Products, LLC to set up an account for you and approve a credit line,
More informationDate: Business Credit Application Customer Billing Information: Customer Business Information
: Business Credit Application Customer Billing Information: Legal Name Trade Name Bill to Physical City/State/Zip County Customer Delivery (if different from Above) Ship to Name Ship to City/State/Zip
More informationTHANK YOU FOR YOUR INTEREST IN BILL HICKS & CO., LTD
BILL HICKS & CO., LTD. Office: (763) 476-6200 15155 23 RD Avenue North Fax: (763) 476-8963 Minneapolis, Minnesota 55447-4740 Toll Free: (800) 223-0702 THANK YOU FOR YOUR INTEREST IN BILL HICKS & CO., LTD
More informationOn behalf of Radius Promotions, LLC., I would like to take this opportunity to welcome you as a new customer. We are excited to have you with us!
Radius Promotions, 114 W Gregory, PO Box 8450, Kansas City, MO 64114 800-314-1365 www.radiuspromotions.com On behalf of Radius Promotions, LLC., I would like to take this opportunity to welcome you as
More informationCustomer: Thank you again for your patronage. We look forward to serving your needs. Sincerely, S. T. Wooten Corporation
Customer: Thank you for choosing to do business with S. T. Wooten Corporation. We are committed to providing you, our valued prospective or existing customer, with the highest level of satisfaction possible.
More informationKINGSTON LUMBER SUPPLY COMPANY P.O. Box 169 Kingston, Washington, 98346 (360) 297-3600 or (206) 842-0104 Administration FAX: (360) 297-8391
KINGSTON LUMBER SUPPLY COMPANY P.O. Box 169 Kingston, Washington, 98346 (360) 297-3600 or (206) 842-0104 Administration FAX: (360) 297-8391 CONTRACTOR OR COMMERCIAL APPLICATION FOR CREDIT PLEASE COMPLETE
More informationUnited Prairie Cooperative Business Credit Application
United Prairie Cooperative Business Credit Application Hello and thank you for your interest in opening a United Prairie Charge Account. We hope that you will find doing business with us a pleasure and
More informationBUSINESS CREDIT APPLICATION. Enclosed please find forms necessary for establishing an account with us.
BUSINESS CREDIT APPLICATION Dear Prospective Customer, Enclosed please find forms necessary for establishing an account with us. Fill out BOTH pages of the credit application. An authorized company officer
More informationAllegiant Power, LLC, a Florida Limited Liability Company 3740 Business Drive, Suite 102, Memphis, TN 38125 Phone (901) 300-4715 Fax (901) 737-3688
Allegiant Power, LLC, a Florida Limited Liability Company 3740 Business Drive, Suite 102, Memphis, TN 38125 Phone (901) 300-4715 Fax (901) 737-3688 Allegiant Power, LLC is involved in the business of using
More informationLegal name: Trade name, if different: Physical address: City: State: Zip: Shipping address: City: State: Zip: Phone: Fax: Email: Billing address:
Business Credit Application Action Play Systems, LLC 18535 Old Statesville Rd., Suite C Cornelius, NC 28031 Phone: 855-752-9277 Company Information Legal name: Trade name, if different: Physical address:
More informationCredit Application Terms
Dundee Manufacturing 107 Fairchild Drive Dundee, MI 48131 P: 734.529.2540 F: 734.529.3583 Credit Application Terms New Accounts To open a new credit account with Dundee Manufacturing please fill out the
More informationCSI MasterCard Corporate Fleet Card
CSI MasterCard Corporate Fleet Card Accepted Everywhere Your Fleet Operates CSI MasterCard Corporate Fleet Card For BlueVend Car Wash Merchants Program Guidelines/Client Benefits: Reduced Monthly Card
More informationMANDATORY CUSTOMER CREDIT APPLICATION
MANDATORY CUSTOMER CREDIT APPLICATION Dupal Enterprises LLC Telephone» 718-388-8130 67 Metropolitan Ave Fax back to» 718-388-7008 Brooklyn, NY 11249 *Business Information* Ownership Sole Proprietorship
More informationReturn completed applications to: APAC-Texas, Inc. P.O. Box 20779 Beaumont, TX 77720 (409) 866-1444 Phone (409) 866-5541 Fax
Return completed applications to: APAC-Texas, Inc. P.O. Box 20779 Beaumont, TX 77720 (409) 866-1444 Phone (409) 866-5541 Fax APPLICATION FOR BUSINESS CREDIT Date: NOTE: This application for Business Credit
More informationVISA BUSINESS CREDIT CARD APPLICATION
UMB i1510018 (R 09/10) VISA BUSINESS CREDIT CARD APPLICATION It s easy to Apply. Incomplete information may cause delays. Please complete in full. bankcardcredit.commercial@umb.com Fax to 816.843.2485
More informationCredit Application. Customer Information
RCI Roofing Supply Company Inc RCI Omaha: RCI Lincoln: RCI Kearney: RCI Scottsbluff: 7702 S. 168 th St 3400 Cornhusker HWY 2029 25 th Road 417 S 9 th St Omaha, NE. 68136 Lincoln, NE 68504 Kearney, NE 68847
More informationPharmacy Creations, Inc. A Wholly-Owned Subsidiary of Imprimis Pharmaceuticals
A Wholly-Owned Subsidiary of Imprimis Pharmaceuticals STANDARD CUSTOMER APPLICATION Please fill out all appropriate fields below and send this form to LSHERRY@IMPRIMISPHARMA.COM. If you have any questions
More informationBUSINESS CREDIT AGREEMENT
FRUITA CONSUMERS COOPERATIVE ASSOCIATION www.fruitacoop.com BUSINESS CREDIT AGREEMENT Thank you for your interest in obtaining a charge account with Fruita Consumers Co op. We are glad to be able to offer
More informationInstructions for completion and submission of the following four-page form
Instructions for completion and submission of the following four-page form 1) Please print the following four pages and complete the credit application on pages one through three in a thorough manner,
More informationBUSINESS CREDIT CARD AGREEMENT
Thank you for your interest in CoVantage Credit Union s business credit card services. We offer two options for our business credit card users, although basic features of the card are available on either
More informationDocuments Required. $400 due diligence check per company made payable to Capstone Business Funding, LLC
Legal Business Name Date Documents Required Current Accounts Receivable Aging Report Company Information Application and Origination Statement (Have your signature notarized under Origination Statement
More informationBUSINESS CREDIT APPLICATION
BUSINESS CREDIT APPLICATION 1. Legal Name of Applicant: 2. Trade Name (d/b/a) if Applicable: E.I.N.: 3. Type of Bus. Years in Business: 4. Website: www. General 5. Has Applicant Changed its Name or Advertised
More informationAs always, we welcome cash and credit card customers for all purchases.
Corporate Credit Department 12802 Commodity Place Tampa, FL 33626 Phone: 813-792-3663 813-792-3661 Fax: 813-434-2347 email:ar2@qssi.com Credit Application Dear Customer: Thank you for applying for credit
More informationCredit Application for a Business Account
Credit Application for a Business Account Jackson Plant: Ohio Basic Minerals LLC Corporate Office: Ohio Basic Minerals LLC 15317 Beaver Pike Road 1700 Broadway Suite 1170 Jackson, OH 45640 Denver, CO 80290
More informationDealer Registration. Please provide the following:
Dealer Registration Please provide the following: A copy of your Dealer s License A copy of your Sales Tax Certificate A copy of the Driver s License for all representatives A copy of your Master Tag Receipt
More informationYORKMONT AUTO AUCTIONS, INC. 799 South Main St. Fair Haven, VT 05743. Office: 802.278.8057 Fax: 802.278.8114. www.yorkmontaa.com
REGISTRATION FORMS YORKMONT AUTO AUCTIONS, INC. 799 South Main St. Fair Haven, VT 05743 Office: 802.278.8057 Fax: 802.278.8114 info@yorkmontaa.com Auction Insurance policy requires all registration forms
More informationCREDIT APPLICATION CREDIT AGREEMENT
To the applicant(s): Please complete this Credit Application form in its entirety. After carefully reading and agreeing to the Credit Application and Terms and Conditions (all 5 pages), sign the last page
More informationGuidelines for completing the Orscheln VISA Credit Card Business Application
Guidelines for completing the Orscheln VISA Credit Card Business Application The guidelines listed below are designed to help you assist the business in submitting a complete business application. Following
More informationDiscount Steel, Inc. 800-522-5950
Discount Steel, Inc. 800-522-5950 Corporate Division Fort Worth Division Hardware Division 216 27 th Ave. North 10353 Hicks Field Rd 2626 N. 2 nd St Minneapolis, MN 55411 Fort Worth, TX 76179 Minneapolis,
More informationFailure to provide the necessary information will result in your application being delayed.
WISP-Router, Inc. 264 N. Industrial Drive Frontenac, KS 66763 http://www.wisp-router.com Phone 620-231-7777 Fax 620-231-4066 Your Full Time Professionals Dear Customer: Please find attached the Customer
More informationVisa Business Credit Card Visa Business Rewards Credit Card
Visa Business Credit Card Visa Business Rewards Credit Card Card Center, P.O. Box 410436, Kansas City, MO 64141-0436 Branch ID no. Associate ID No. Agent # - BBW 0240 COMPANY INFORMATION Company Name Street
More informationIf you are requesting terms you must sign the personal guarantee section of the application.
Dear Customer: Welcome to! Enclosed for your review and completion is the new account application. Please fill the application out completely and return it in the enclosed self addressed stamped envelope
More informationAPPLICATION FOR BUSINESS CREDIT
_. Return Completed Application to: Pike Industries, Inc. 3 Eastgate Park Road Belmont, NH 03220 Phone: 603.527.5100 Fax: 603.527.5101 APPLICATION FOR BUSINESS CREDIT Date: Pike Salesman s Name: NOTE:
More informationsection name mirasol shutters option guide Version 100913 www.mirasolshutters.com all pantone #s are solid matte _pantone2748 _pantone458 _pantone455
section name mirasol shutters option guide all pantone #s are solid matte _pantone2748 _pantone458 _pantone455 _logo plain _pantone506 _pantone5425 PREMIER COLLECTION _pantone557 _logo w/tagline MIRAWOOD
More informationAMAZING CASH FOR BUSINESS (Cash Back) An Amegy Bank checking or savings account is required. Savings or Checking #
BUSINESS CREDIT CARD APPLICATION IMPORTANT: The bank cannot process applications that are incomplete, unsigned, or missing documentation. Pending the bank s credit review and underwriting, the bank may
More informationApplication for Customer Status
Application for Customer Status TERMS AND CONDITIONS OF SALES: The terms and condition of sales by Perfect 10 (hereafter referred to as Perfect 10 ) to the below named Customer (hereafter referred to as
More informationCOMMERCIAL ROOFING SPECIALTIES. INC.
AUTHORIZATION FOR RELEASE OF BANKING INFORMATION COMMERCIAL ROOFING SPECIALTIES. INC. POST OFFICE BOX 48120 ATLANTA, GEORGIA 30362 (770) 458-0539 PHONE (770) 458-4121 FAX COMMERCIAL ROOFING SPECIALTIES
More informationCredit Application and Agreement - Supplement Your Business Future
Credit Application And Agreement End Use / End User Certification Form 5401 93 REV. 1 1/2009 Page 1 of 11 CREDIT APPLICATION AND AGREEMENT I. Company Information: Business Name: Type of Business: Telephone
More informationDedicated to Outstanding Customer Service APPLICATION PROCESSING CHECKLIST
Dedicated to Outstanding Customer Service 388 South Oyster Bay Rd. Hicksville, NY 11801 TEL: 516-935-6277 TOLL FREE: 866-396-2754 FAX: 516-935-1701 EMAIL: info@barclayleasing.com APPLICATION PROCESSING
More informationWelcome to Bay Promotions!
Welcome to Bay Promotions! We would like to welcome you as a Bay Promotions customer! Please take a few minutes to give us your account information. This information ensures accuracy setting up your account
More informationNEW HOME BUILDER REGISTRATION APPLICATION. Instructions
PO Box 805 Trenton, New Jersey 08625-0805 (609) 984-7534-7563 NEW HOME BUILDER REGISTRATION APPLICATION Instructions Please read carefully before completing this application. Application must be typed
More informationDealer Application Checklist:
Dealer Application Checklist: Completed Dealer Authorization Form o Each owner/principle must sign and date form Completed Credit Application o Signed and dated application with all owners and principal
More informationMICRO INFORMATICA LLC
Beacon Center 8400 NW 25 Street Suite 100, Miami, FL 33122, Tel: 305-418-3200 Fax: 305-418-3201 Applicant: Firm Name: Shipping Address: Billing Address: Phone:( ) Fax:( ) Contact: BANKING REFERENCES Bank
More informationCOMPANY NAME : SHY CREATION, INC. Distributor of Fine Jewelry 650 S. Hill St. Ste. 428 Los Angeles, CA 90014 TEL: (213)623-8900; FAX: (213)623-0860
COMPANY NAME : SHY CREATION, INC. Distributor of Fine Jewelry 650 S. Hill St. Ste. 428 Los Angeles, CA 90014 TEL: (213)623-8900; FAX: (213)623-0860 Thank you for your interest in Shy Creation. Please provide
More informationCOMMERCIAL CREDIT CARD AGREEMENT
COMMERCIAL CREDIT CARD AGREEMENT This Commercial Credit Card Agreement contains the terms which govern the use of your Visa business credit card and corresponding Account, and outlines your responsibilities
More informationTel: (408) 941-0808 Fax: (408) 941-1088 www.malabs.com sales@malabs.com. Welcome to Ma Labs!
Welcome to Ma Labs! MA Labs, Inc. is a leading computer component distributor in the United States. Since 1983, MA Labs, Inc. has been a memory module specialist. We provide the latest technology and full
More informationUS short form 263 Old Country Road Melville, NY 11747 800.545.6776 OPT #2 FAX 631.367.0513
US short form ADI New Account Required Documentation Required Documentation for a New Business Account with ADI and Credit Agreement Thank you for your interest in establishing a business credit account
More informationAccounts Payable Contact Information. AP Contact Person: Email: Bill to Information. Bill to Company Name: Bill to Street Address: City: State: Zip:
Customer Packet Welcome to SICO America Inc. We are setting your company up in our system as a new SICO America Inc. customer. Please see the attached new customer packet. This packet includes our Credit
More informationGPR / VMC Credit Card Authorization Form
GPR / VMC Credit Card Authorization Form I,, authorize RS Norman Mfg/GPR Stabilizer to charge my business and/or personal credit card for any and all purchases Signature Date One Time Purchase Please Put
More informationCONTRIBUTION AGREEMENT of INCROWD ALABAMA FUND I, LLC
CONTRIBUTION AGREEMENT of INCROWD ALABAMA FUND I, LLC INSTRUCTIONS TO INVESTORS EACH PROSPECTIVE INVESTOR IN INCROWD ALABAMA FUND I, LLC (THE COMPANY ) SHOULD EXAMINE THE SUITABILITY OF THIS TYPE OF INVESTMENT
More informationBUSINESS CREDIT APPLICATION AND AGREEMENT
BUSINESS CREDIT APPLICATION AND AGREEMENT Please print or type Date: Business name: Address: Street City State Zip Business phone: ( ) Fax ( ) Business Website: Name of Authorized RepresentaCves: Title
More informationCOMMERCIAL CREDIT APPLICATION AND ACKNOWLEDGEMENT OF TERMS
Coen Oil Company 1045 West Chestnut Street Washington, PA 15301 724-223-5500 Fax: 724-223-5501 www.coenoil.com accountsreceivable@coenoil.com COMMERCIAL CREDIT APPLICATION AND ACKNOWLEDGEMENT OF TERMS
More informationAlaska USA Business Overdraft Credit Line Application and Agreement
Alaska USA Business Overdraft Credit Line Application and Agreement Section 1: Overdraft credit line request Amount requested (minimum 2,500 with a maximum of 10,000) Cover overdraft from my Alaska USA
More informationCREDIT APPLICATION - TERMS & CONDITIONS
CREDIT APPLICATION - TERMS & CONDITIONS Customer herein applies for the extension of credit regarding payment for services provided by AKRR. Prior to the establishment of credit, any and all moves will
More informationRental Centers of America, Inc.
Rental Centers of America, Inc. Credit Approval Request Form NEW ACCOUNT REVISED RCA CUSTOMER # DATE COMPANY NAME DBA OFFICE LOCATION BILLING ADDRESS CITY/STATE/ZIP TELEPHONE NO. FAX NO. DO YOU USE PURCHASE
More informationMSUFCU Business Loan Application
MSUFCU Business Loan Application Section 1 - Credit Requested Total Funds Needed Less Funds Provided by You - ( ) Less Funds Provided by Others - ( ) Total Loan Needed Section 2 - Business Information
More informationMy Simple Auction. Payment Processing Forms Final Step. Please check off the following items as you complete them:
My Simple Auction Payment Processing Forms Final Step Complete and return the following forms Please check off the following items as you complete them: Attached Voided Check (See Page 1) Signed and Completed
More informationFLEET CREDIT APPLICATION
FLEET CREDIT APPLICATION Let us help you improve your bottom line with our fleet card program. Additionally, our Maverik website allows you to manage your fleet accounts on a daily basis. We can set you
More informationCra f t y Be av e r Ho m e Ce n t e r s
sm Cra f t y Be av e r Ho m e Ce n t e r s CORPORATE OFFICE 4810 OAKTON ST. P.O. BOX 204 SKOKIE, IL 60076 sm CREDIT APPLICATION (BUSINESS ACCOUNT) ACCT. NO DATE SALES PERSON Credit Applicant Phone No:
More informationPsychiatric Associates of Atlanta, LLC Twelve Piedmont Center, Suite 410 3495 Piedmont Road, NE Atlanta, GA 30305 404-495-5900 404-495-5901 (fax)
PATIENT INFORMATION: Psychiatric Associates of Atlanta, LLC Twelve Piedmont Center, Suite 410 3495 Piedmont Road, NE Atlanta, GA 30305 404-495-5900 404-495-5901 (fax) Last Name: First: MI: Address: City:
More informationThe Credit Application: Providing an Effective Structure for the Customer Relationship
: Providing an Effective Structure for the Customer Relationship Developing or revising your company s credit application Prepared by Marjorie L. Dyrnes, CCE Rodney B. Wheeland, CCE, CAE Brenda Terreault,
More informationCREDIT APPLICATION AND AGREEMENT (SUBJECT TO TERMS AND CONDITIONS ON PAGE 4)
I I CREDIT APPLICATION AND AGREEMENT (SUBJECT TO TERMS AND CONDITIONS ON PAGE 4) The Portland Group, Inc. Credit Department 390 Franklin Street Framingham, MA 01702 Phone: (508) 875-7484 Fax: (508) 879-7621
More informationAttn: Credit Department 101 Security Parkway New Albany, IN 47150 Phone (800) 528-9900 Fax (812) 542-3621
Attn: Credit Department 101 Security Parkway New Albany, IN 47150 Phone (800) 528-9900 Fax (812) 542-3621 Thank you for your interest in becoming a member of the Fire King family. We welcome the opportunity
More informationAPPLICATION FOR CREDIT
Companies APPLICATION FOR CREDIT DATE: Please Check All That You Are Applying For: CREDIT LINE REQUESTED: $ Bulk Fuel & Lubricants PART 1: COMPANY / INDIVIDUAL INFORMATION Company Or Individuals Name FleetWide/CFN
More information**Incomplete vendor registration submissions will be discarded after 30 days.**
**Incomplete vendor registration submissions will be discarded after 30 days.** Procurement Services Department 130 Trinity Avenue, 4 th Floor Atlanta, GA 30303 Fax (404) 802-1506 Vendor Registration Form
More informationBusiness Location: Internet Account Only Commercial Building Part of Home
HC Dealer Application Account Number (Credit Dept Use) ** To Establish Dealer Eligibility ** All blanks must be completed and returned to Pape s Credit Department with a copy of Resale Tax Certificate.
More information877-479-9111. For information, call... BANK REFERENCE TRADE REFERENCES
BANK REFERENCE FIRST UNION BANK 1525 West W.T. Harris Blvd. Charlotte, NC 28288-0803 Phone#................................. 540-563-7363 Fax #................................... 540-563-7331 Contact......................
More informationWELCOME TO ABERDEEN S AUTHORIZED RESELLER PROGRAM
ABERDEEN LLC 9130 Norwalk Boulevard 562-699-6998 Fax 562-695-5570 WELCOME TO ABERDEEN S AUTHORIZED RESELLER PROGRAM Thank you very much for your interest in Aberdeen s Reseller Program. As a valued member
More informationSUITE SOLUTIONS MEMBERSHIP GUIDELINES Clients using EZ-Filing Inc. Software
SUITE SOLUTIONS MEMBERSHIP GUIDELINES Clients using EZ-Filing Inc. Software The following procedures are needed to establish your account in order to download three bureau credit reports into your bankruptcy
More informationPhone: 866-666-3835 FAX: 614-652-7919 Email:GMB-SPS-ADAPT@CORDLOGISTICS.COM. Credit Application
Phone: 866-666-3835 FAX: 614-652-7919 Email:GMB-SPS-ADAPT@CORDLOGISTICS.COM Credit Application 1. Legal Entity Name: 2. D/B/A (if any): 3. Business Type (check one): Proprietorship Partnership (S) Corp
More informationQBP & CREDIT TERMS OFFERED
QBP & CREDIT TERMS OFFERED Thank You for Inquiring About Terms with QBP We are excited for this opportunity to present you with the wide variety of payment terms we offer. At QBP we take pride in our excellent
More information175 TownPark Drive, Suite 400, Kennesaw, GA 30144 APPROVED UNDERWRITER AGREEMENT
175 TownPark Drive, Suite 400, Kennesaw, GA 30144 APPROVED UNDERWRITER AGREEMENT THIS APPROVED UNDERWRITER AGREEMENT (the Agreement ) is made and entered into as of this day of, 20, by and between, (the
More informationFuel Express Commercial Fleet Card Application
Fuel Express Commercial Fleet Card Application 1. Complete all parts of Section 1. 2. Read the attached Commercial Fleet Card Terms and Conditions ( Agreement ) and keep it for your records, along with
More informationSeneca Mortgage Servicing LLC Attn: Loss Draft Department P.O. Box 52009 Phoenix, AZ 85072. Re: Repair Process. Dear Borrower(s),
P.O. Box 52009 Phoenix, AZ 85072 Re: Repair Process Dear Borrower(s), Thank you for informing us of the damage to your property. We understand what a difficult time this is for you, and we would like to
More informationONLINE BANKING ENROLLMENT FORM. Customer Information. Security and Identification Information. Bank Use
ONLINE BANKING ENROLLMENT FORM Complete a separate form for each user Please print this Application and Terms & Conditions and fill out completely. If you have any questions about these forms, call one
More informationCLS Investments, LLC Instructions for the Solicitor Application and Agreement
CLS Investments, LLC Instructions for the Solicitor Application and Agreement Please complete all fields on page 1 of the Solicitor Application and Agreement. Some general guidelines are set forth below.
More information*TO OPEN AN ACCOUNT WITH EEI, INC. PLEASE RETURN THE FOLLOWING PAPERWORK* (Minimum processing time is 3 business days)
*TO OPEN AN ACCOUNT WITH EEI, INC. PLEASE RETURN THE FOLLOWING PAPERWORK* (Minimum processing time is 3 business days) 1. The completed and signed CREDIT APPLICATION. (Incomplete applications will not
More informationadvice backed by our knowledge and experience Delta Community Credit Union Business Services distinguished by
Delta Community Credit Union is a financial institution with over $3.3 billion in assets. Delta Community Credit Union Business Services distinguished by We are a cooperative, owned and operated by our
More informationWE MAY NOT BE ABLE TO TIMELY COMPLETE THIS PROCESS IF WE DO NOT RECEIVE THIS INFORMATON AT LEAST TWO (2) DAYS BEFORE YOUR SCHEDULED COURT APPEARANCE.
We look forward to favorably resolving your traffic ticket/criminal law matter. Simply print this form and fill in the blanks. If this involves a traffic ticket, we understand that you want three things
More informationUS long form 263 Old Country Road Melville, NY 11747 800.545.6776 OPT #2 FAX 631.367.0513
US long form 263 Old Country Road Melville, NY 11747 800.545.6776 OPT #2 FAX 631.367.0513 ADI New Account Required Documentation Required Documentation for a New Business Account with ADI and Credit Agr
More informationCITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO
CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO Part 1 - Business Information Account Number Date Business Established: State of Incorporation/ Organization: Type of Entity: Individual/ Sole Proprietorship
More informationBusiness Line of Credit
Business Line of Credit Business Lines of Credit for $400k+. Multiple lines are required to obtain maximum financing. A 690 minimum FICO score is required and only 2 years in business to qualify. Program
More informationBelco Community Credit Union BUSINESS LOAN APPLICATION
BUSINESS LOAN APPLICATION Completed on / / APPLICANT INFORMATION Small Business Lending PH: 717-720-6408 Fax: 717-720-6257 449 Eisenhower Blvd. Harrisburg, PA 17111 Page 1 of 2 Applicant Name Credit Request
More informationCITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO
CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO Part 1 - Business Information Account Number Date Business Established: State of Incorporation/ Organization: Type of Entity: Individual/ Sole Proprietorship
More informationCapital for Merchants Receivables Purchase Application
Amount Requested Capital for Merchants Receivables Purchase Application Intended Use of Cash Advance Proceeds Legal Business Name DBA Ownership Structure Corporate LLC Partnership Sole Proprietorship Other
More informationFUTURE RECEIVABLES PURCHASE AGREEMENT
FUTURE RECEIVABLES PURCHASE AGREEMENT This Future Receivables Purchase Agreement ( Agreement ) is dated as of the Effective Date set forth on the signature page below, and is between Mercury Payment Systems,
More informationPayment Processing Final Step
Payment Processing Final Step Complete and return the following forms Please check off the following items as you complete them: Attached Voided Check (See Page 1) * For Credit Card Deposits Signed and
More informationDEALER CREDIT APPLICATION ADDENDUM
DEALER CREDIT APPLICATION ADDENDUM Caterpillar Financial Services Corporation FCC Equipment Financing Caterpillar AccessAccount Corporation Application for credit with: (Please check appropriate box or
More informationHOOVER FINANCIAL ADVISORS, PC FINANCIAL PLANNING AND CONSULTING AGREEMENT
FINANCIAL PLANNING AND CONSULTING AGREEMENT This financial planning and/or consulting agreement ( Agreement ) made as of the day of, 2016 between the undersigned party, ( Client ), the Investment Advisory
More informationCOMPANY INFORMATION. Address: City: County: State: Zip:
MEMBER BUSINESS LOAN APPLICATION TYPE OF LOAN/LEASE: Business Vehicle (Fleet) Loan Equipment Financing Line of Credit SBA Loan Working Capital Loan Commercial Mortgage Amount Requested: Purpose/Use of
More information