Electrolux EFC 009 X Instrukcja Użytkownika Pobierz pdf (Strona 34)

1. NAMEOFPARENTCOMPANY,IFSUBSIDIARY:

2. TYPEOFBUSINESS:

3. YRS.ATPRESENTLOCATION:

4. YEARESTABLISHED:

5. ISTHISBUSINESSINCORPORATED?Y/N

6. IFYES,INWHICHSTATE?

7. YOURUSUALPAYMENTSCHEDULEIS:

  CreditCard 30DAYS  60DAYS

8. OWNER&OFFICERNAMES&ADDRESSES:

OWNER: _____________________________________________________

 _____________________________________________________

OFFICER:_____________________________________________________

 _____________________________________________________

OFFICER:_____________________________________________________

CREDIT APPLICATION

DateSubmitted:

DateApproved:

TaxID#:

Contact:

Phone:

Fax:

E-Mail:

Each invoice is due according to the following terms:

If not paid in full within 30 days, credit terms are subject to review

*Supermarket Parts Warehouse is hereby authorized to substantiate and

investigate the information contained on this application and to report

purchaser’s performance of this agreement as interested party as permitted

by law.

Credit is Reviewed Every 6 Months.

Alloftheaboveinformationwillbekeptcondentialandwillbeusedonlytomakeadeterminationofcreditworthiness.Iherebycertifythattheabove

informationiscorrectandshouldbereliedupontothestatedpurpose.IfurthercertifythatIfullunderstandthetermsofcreditasofferedbySupermarketParts

WarehouseInc.,andagreedtopromptpaymentinconsiderationofanyextendedcredit.Mysignaturebelowauthorizesreleaseofcreditinformationfromthe

abovelistedsources.

 CREDIT CARD INFORMATION (IF NOT SEEKING

CREDIT TERMS ONLY)

 TYPE:_______________________________________________

 CARD#:_____________________________________________

 EXPIRATIONDATE:___________________________________

 BILLINGADDRESS: __________________________________

9. REFERENCES:

 TRADE

 COMPANY: __________________________________________

 ACCOUNT#:_________________________________________

 CITY/STATE:_________________________________________