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Printable Form. Please fax to 207-773-8730
ODORITE COMPANY
APPLICATION FOR CREDIT-COMMERCIAL
Business Name:______________________________________________________ Phone:__________
Mailing Address: ___________________________________________________(Street, Box #, etc.)
City:___________________________________State:__________Zip Code:_______________________
Tel. No: ( )___________________________Contact Person:_________________________________
D/B/A _______________________________________ FEDERAL TAX I.D. NUMBER ______________
Former Business Address: _______________________________________________________________
Type of Business: _____________________ Date Established: ___________
Years in Business: ________
OWNERSHIP: ___ Sole Owner ___ Partnership ___ Corporation
PRINCIPAL __________________________________________________________________________
(Name)
(Title) (SS#) (Home Address)
PRINCIPAL__________________________________________________________________________
(Name)
(Title) (SS#) (Home Address)
PRINCIPAL__________________________________________________________________________
(Name)
(Title) (SS#) (Home Address)
Trade Reference: ______________________________________
Current Monthly Credit Limit: _________
Address: ____________________________________________________________________________
City: ________________________________________________ State: ________ Zip Code: __________
Tel. No.: ( ) __________________________Contact Person: _______________________________
Trade Reference: ______________________________________
Current Monthly Credit Limit: _________
Address: ____________________________________________________________________________
City: ________________________________________________ State: ________ Zip Code: __________
Tel. No.: ( ) __________________________Contact Person: ______________________________
Trade Reference: ______________________________________
Current Monthly Credit Limit: _________
Address: ____________________________________________________________________________
City: ________________________________________________ State: ________
Zip Code: __________
Tel. No.: ( ) __________________________Contact Person: ______________________________
BANK REFERENCE
____________________________________________________________________________
(Name)
(Address)
(Acct. #)
(Contact)
____________________________________________________________________________
(Name)
(Address)
(Acct. #)
(Contact)
____________________________________________________________________________
(Name)
(Address)
(Acct. #)
(Contact)
No. of Employees _________ Est. Annual Sales $______________
Sales Area _______________________
Has the firm or any of its Principals ever been bankrupt? ___ Yes ___ No
If yes, please explain: _____________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
The undersigned as an inducement to grant credit to me or to my agent(s)
agrees to the following terms:
Our terms are Net 30 days from invoice date.
An invoice is provided to you at pick-up or delivery, no statement will follow.
Service charge compounded on overdue accounts at the rate of 1.5% per month.
A credit application is provided at the end of this catalog for your convenience.
PERSONAL GUARANTEE
I/We individually and where applicable, acknowledge acceptance of the above mentioned credit
arrangement and guarantee the prompt payment of all sums personally, now or hereafter
due from the above named individuals or business entity.
I/We understand that the addition of a corporate title to signature does not alter
the individual nature of the guarantee.
Personally_________________________________________________________________________________
Company Name ____________________________________________________________________________
By ______________________________________________________Title _________________________
Date ____________________
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