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Credit Application - Long Form

"*" indicates required fields

Who are you

Please provide your name and contact details
Name*
Email*

Line of Credit

Please enter a number from 1000 to 25000.
US DOLLARS

Please choose the line of credit that you are seeking. Approval is based on references and your credit report. You may not be awarded the line of credit that you are requesting, but receive a lesser amount based on your credit rating.

Business Information

BUSINESS ADDRESS*
USE MAILING ADDRESS FOR BILLING*
BUSINESS TYPE*

Billing Address

BILLING ADDRESS

Business Contact

BUSINESS EMAIL*
If you do not have a website, please enter N/A

Business Details

Full name of Corporate Members; Partners; or Proprietors (Principles)*
Name
Title
 
Click the "Circle +" shown to add additional rows.

Business References

We require at least three credit references to process this application
Established Commercial / Business Credit References*
Business Name
Phone
Account Number
Established Commercial / Business Credit References*
Business Name
Phone
Account Number
Established Commercial / Business Credit References*
Business Name
Phone
Account Number

BANKING INFORMATION

WHO DO YOU BANK WITH*
Name of Bank
Branch
Account Number
Account Contact

Sales Tax Status and FIN

STATE RESALE / EXEMPTION TAX STATUS*
Exemption status requires that you also submit the Interstate Tax Exemption documentation to prove your status. A link will be provided once this form is submitted.

File Upload

This is your opportunity to provide additional information that may be in paper form.
Drop files here or
Accepted file types: jpg, gif, png, pdf, Max. file size: 3 MB.

    Signature

    TERMS OF SALE

    SOUND TRUCK AND TRAILER REPAIR, INC’S TERMS OF SALE: NET 30 DAYS FROM DATE OF INVOICE. BOOKS ARE CLOSED ON THE LAST DAY OF THE MONTH. PAYMENT IS DELINQUENT AFTER 30 DAYS FROM DATE OF THE INVOICE. DELINQUENT ACCOUNTS ARE SUBJECT TO C.O.D. (CASH SALE) TERMS, COLLECTION, COLLECTION EXPENSES, AND REASONABLE ATTORNEY FEES. APPLICANT AUTHORIZES SOUND TRUCK AND TRAILER REPAIR, INC TO CONDUCT A CREDIT INVESTIGATION AND CONTACT ANY AND ALL REFERENCES AS PROVIDED ABOVE. IF ACCOUNT APPLICATION IS APPROVED AND COMMERCIAL/BUSINESS CREDIT PRIVILEGES ARE GRANTED, THE UNDERSIGNED HAS READ AND AGREED TO THE ABOVE TERMS OF SALE, AND WARRANTS THAT ALL INFORMATION PROVIDED IS TRUE AND ACCURATE. NET CASH IS OF INVOICE DATE OF CHARGE. 1.5% WILL BE CHARGED ON PAST DUE ACCOUNTS. CHARGE ACCOUNTS ARE DUE ON NET 1.5 FROM INVOICE DATE. PAST DUE ACCOUNTS WILL BE PLACED ON C.O.D.
    Read Terms: Acknowledgement*
    Check box to acknowledge that you have read and understand the terms listed above.
    Authority: Acknowledgement*
    Check box to acknowledge that you have the authority to apply for this line of credit for this business.
    ELECTRONIC SIGNATURE*
    By entering your name here and submitting, you are digitally signing this form and authorizing the forms review as intended.
    You may use mouse or touch to sign
    This field is for validation purposes and should be left unchanged.
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