CREDIT APPLICATION

Credit Application

APPLICANT INFORMATION

TAX EXEMPT
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BANK REFERENCE

TRADE REFERENCES

INVOICE INFORMATION

DO YOU ACCEPT EMAILED INVOICE *

CONTACT INFORMATION

POSITION
ACCOUNTS PAYABLE
PURCHASING
The price charged will be the price that is in effect at the time of the shipment. The terms are NET 30 days. 1-1/2% per month (18% per annum) SERVICE CHARGE will be levied for invoices not paid 15 days after the due date.