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Credit App

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Credit Application

C R E D I T A P P L I C A T I O N

Contact Information
Principals/Directions:
Credit Reference:
Bank(S):
General Information:
Terms And Conditions:

Terms are Net 15th of the month following.A service charge will be assessed on overdue balances.Deductions for holdbacks and/or contra charges are not to be deducted unless prior authorization is obtained from our company.Failure to comply with Terms and Conditions will result in cancellation of credit privileges without notice.

Declaration:

The information given is warranted to be true and is given for the purpose of obtaining credit , and un the event that credit is given, , I/We agree to abide by your Terms and Conditions of sale. I/We also agree to pay service charges on overdue accounts at the rate shown on your invoice

Office Use Only:
Reference Check: