Best Screw Products Inc.
NEW ACCOUNT INFORMATION
Name
Title
Organization
Work Phone
Address
City
State/Province
Zip code/Postal code
Country
How Long At This Address
Years
Taxable
Yes,
No
Tax Exemption #
Are Purchase Orders Required
Yes,
No
Do You Accept Backorders
Yes,
No
Real estate Owned
Yes,
No
Mortgages
Do you pledge or Borrow
Against Your Accounts Receivables
Yes,
No
Do You Pledge or Borrow
Against Your Inventory
Yes,
No
TYPE OF OWNERSHIP
Partnership
Name of Partners & Address
Sole Ownership
Name of Owner & Address
Corporation
Name of Officers & Titles (Date and State of Incorporation)
Other
Explain
FINANCE
Bank
Account#
Phone
Address
City
State/Province
Zip code/Postal code
Country
TRADE REFERENCES
Name
1.
2.
Address
1.
2.
City
1.
2.
State/Province
1.
2.
Zip code/Postal code
1.
2.
Country
1.
2.
Phone
1.
2.
Name
3.
4.
Address
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4.
City
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State/Province
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Zip code/Postal code
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Phone
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Application for credit is herby applied for and is to be used by your credit department only. We (I) hereby agree to your terms as stated and fully intend to abide by them. It is further understood that any deviation of said terms is strictly prohibited without the direct authorization of
Best Screw Products, Inc.
We understand that ownership of merchandise remains in the name of seller until paid in full
Name of Officer
Date:
Title of Officer
Copyright
Skyline Data Systems
.
Last updated: 04/17/2001 04:39:42 AM