Sidebar

Credit Application

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Trade References (Four Largest Creditors)

Name
Address
Phone
Fax
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Bank Information

Bank Name
Address
Acct. #
Phone
Fax
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Officers of Corporation/Names of Partners

Title
Name
Soc Sec #
Address
Phone
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
How would you like invoices sent?
Invalid Input
Invalid Input
Invalid Input
Invalid Input

NOTE: All customers agree to adhere to the following terms in event that credit is extended by Plumbing Wholesale Outlet, Inc.

1. Our billing period is a calendar month. Payment is due by 10th of the following month.

2. Plumbing Wholesale Outlet, Inc. reserves the right to charge 1 1/2% per month service charge on any unpaid and or past due balances.

The above information is for the purpose of obtaining credit and is warranted to be true.

I/We authorize the person or firm to whom this application is made to investigate the reference listed pertaining to my / our credit responsibility. Furthermore, I agree to the terms of sale and return policy of Plumbing Wholesale Outlet, Inc. The above agrees to pay all reasonable costs, collection fees, attorney fees, and expenses incurred in the event of failure of applicant to pay all obligations and indebtedness when due. The parties hereto agree that any and all invoices constitute a written contract. The parties agree that any goods or materials purchased and invoiced to the purchaser shall be subject to such contract which shall be deemed to have the contract completion date six (6) months from the date of any invoice.

Applicant's signature attests financial responsibility, ability and willingness to pay PWO invoices in accordance with terms stated.

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input

Individual Guarantee of payment

The undersigned, hereby being the principal(s) of the above business applicant, in consideration of extending credit to the applicant based upon this application, jointly and severally, individually, unconditionally guarantee(s) payment of any and all present or future obligations and indebtedness which the applicant has incurred or shall incur to the above named company. The undersigned further agrees to pay all reasonable costs, collection fees, attorneys' fees and expenses incurred in the event of failure of applicant to pay all obligations and indebtedness when due. The parties hereto agree that any and all invoices constitute a written contract; further, the parties agree that any goods or materials purchased and invoiced to the purchaser shall be subject to such contract which shall be deemed to have a contract completion date six (6) months from the date of any invoice.
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input