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Application for Open Account(Net 30 Days)
2569 Brunswick Ave, Linden, NJ USAOFFICE: (718)-653-1000
EMAIL: [email protected]
Company Name:
Mailing Address: Shipping Address:
City, State, Zip:
Phone:
Fax: Type of Business:
Email Address: Legal Status:Year Began: Under Present Ownership Since:
Amount of Credit Requested:
(PLEASE PROVIDETAX ID NUMBER)
TAX ID#
1234
CREDIT REFERENCES:
How would you prefer to receive invoices? Email Fax MailFull Names of Principals (Owners) Phone Social Security # Drivers Lic.# State Exp.
Company Name: Contact Phone Number Fax Number
BANK: BRANCH: ACCT # PHONE:
Signature: Please Print Name:
Date:
Principal Home Address:Principal Home Phone: Principal Email Address:Person to contact for payment: P.O. Number required? Yes No
CorporationPartnershipProprietorshipLLC
CONDITIONS OF CREDIT: The above information is supplied for the purpose of obtaining credit and is correct to the best of my knowledge. Terms are Net 30 days. The undersigned hereby consents to Skyrise Supplies USA LLC use of a credit report in order to evaluate the creditworthiness of the undersigned as principal(s), proprietor(s) and/or guarantor(s) in connection with the extension of business credit as contemplated by this credit application. Unpaid balances bear interest at1-1/2% per month after due date; an annual rate of 18%. The undersigned further guarantees the payment of all interest, legal fees, court costs and othercosts of collection which may result from failure to comply with the standard terms and conditions of sale. In the event of a past due account, terms may be cancelledunless prior arrangements have been made. The undersigned also agrees to abide by company terms and conditions as outlined in current catalog and online.I, the undersigned agree to personally guarantee all debts of this company to Skyrise Supplies USA LLC
Must be signed by Principal, Owner or Officer
Credit-Application skyrise.pdf 1 3/7/19 6:13 PM
Credit-Application skyrise.pdf 1 3/7/19 6:16 PM
