Credit Application
Customer Name :
C-Corporation
S-Corporation
Partnership


Trade Name :
Address :
City :
State:    
Zip :    
 
Business Description :
Resale # :
Amount of Credit Requested : $
     
Are C.O.D terms accetable while in credit investigation : Yes No      
 
Contact Information :
Contact Person :   Account Payable
 
Bank References:
Name :
Name :
Address :
Address :
City/State/Zip :
City/State/Zip :
Phone :
Phone :
Fax :
Fax :
Account No :
Account No :
 
Trade References:
Name :
Name :
Address :
Address :
City/State/Zip :
City/State/Zip :
Phone :
Phone :
Fax :
Fax :
 
Name :
Name :
Address :
Address :
City/State/Zip :
City/State/Zip :
Phone :
Phone :
Fax :
Fax :
 
The above is for the purpose of obtaining credit and is warranted to be true. I / We herby authorize the firm to whom this application is made to investigate the references listed pertaining to my / our credit and financial responsibility. A copy of this document shall be as the original. I herby acknowledge that the above information is true to the best of my knowledge.
 
   
Electronic signature (type your name) Title Date
 

Contact us for any questions, one of our representatives will be glad to assist you.
(888) Vak-Bags
(305) 871-2247
info@tradepak.net