CREDIT APPLICATION
For the purpose of obtaining merchandise from Seller on credit, the following statement is made intending that you should rely that all information is correct. Fill out completely and if faxed please forward original.
Legal Name Phone No.
Trade Name Fax No.
Mailing Address Cell No.
City Postal Code.
Amount of Credit Required
email
Owned Leased Corporation Partnership
Limited Partnership Individual
Owner or Officer Title Telephone No.
Owner or Officer Title Telephone No.
Owner or Officer Title Telephone No.
Bank Address
Account No. Tel. No. Contact
REFERENCES: Please list you current major suppliers (at least 3)
Name. Address Phone No. Fax No. Contact
The undersigned certifies that the above is true and correct and agrees to pay for all goods purchased in compliance with the terms of the Seller. Unless otherwise agreed to in writing, said terms are that all goods are to be paid in full , 30 calendar days after the invoice date. Should default i n palyment be made when due, the balance plus 2% per moneth (24% APR) on all unpaid sums, together with actual attorney's fee and all costs as the Seller may rasonably incur in the enforcement of the obligation, The undersigned also gives Seller (Jamac Sales ) consent to contact Bank and References for credit purposes to contact Bank and References for credit purposesl
I am authorized to sign a behalf of the company;
Full name of Compay Signature
Date Print Name and Title