Page 2 - Window-Door-Hardware-2020

CREDIT APPLICATION
(please print)
Billing Name Phone Fax
Information
Company E-mail

Street
City State Zip

Ship To Name
Information
(if different Company  Commercial  Residential
from above)
Street

City State Zip

Ownership  Individual  Partnership  Corporation  Other, explain ___________________________________

Principals

Name Address City, State, Zip
Federal I.D. Number

Years in Business

Customer 1. PO required? yes no 4. Require fax or email
Special 2. Monthly statements? yes no acknowledgments on all orders. yes no
Conditions If yes, do you want:  Email  Fax  Mail 5. Print your part # on packing slip? yes no
(circle your If no, you will only receive invoice. How do you want to 6. Designate orders to:
choice) receive your invoice?  Email  Fax  Mail a. ship complete / no back orders
3. Print prices on packing slip? yes no b. ship complete unless otherwise specified
(not recommended for those c. ship partials / ship back orders complete
using our drop ship program) d. ship partials / ship back orders as they come in

Bank Bank Name Address
Reference
Type of Account Account # Bank Officer’s Name Phone

Vendor
Reference Company Fax

Street Phone E-Mail
City State Zip

Company Fax
Street Phone E-Mail

City State Zip
Company Fax

Street Phone E-Mail
City State Zip

I the undersigned confirm that all information given in this application is true and correct to the best of my knowledge. I understand that terms on all purchases
are net 30 days. If this application is approved, I recognize that I/we will be responsible for any attorney’s fees and/or costs incurred in the collection of any
unpaid balance.

Signature Date