Common Contracts

2 similar Credit Application and Agreement contracts

CREDIT APPLICATION AND AGREEMENT
Credit 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:

CREDIT APPLICATION AND AGREEMENT
Credit 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: Business Type: Sole Propietorship / Partnership / Corporation / Other (circle one) 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 #: