BuyTri Commercial Credit Application and Agreement

Commercial Credit Application and Agreement
Account Name*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Fax Number*
Please enter a valid fax number.Format: (000) 000-0000.
Email Address*
example@example.com
Type of Business*
CorporationPartnershipSole Proprietorship
Incorporated in the State of*
Year Started*
Business Principles*
Include names, titles, and addresses
Purchasing Manager*
Accounts Payable Contact*
YesNo
If so, Please Specify
Estimated Monthly Spending for this Account*
Banking

Include Name and Address
Primary Bank*
Include Name and Address
Secondary Bank
Include Name and Address
Trade References

Include Name, Address, Phone and Fax Numbers, and Account Number
Trade Reference 1 Name*
Trade Reference 1 Address*
Trade Reference 1 Account Number*
Trade Reference 1 Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Trade Reference 1 Fax Number*
Please enter a valid fax number.Format: (000) 000-0000.
Trade Reference 2 Name*
Trade Reference 2 Address*
Trade Reference 2 Account Number*
Trade Reference 2 Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Trade Reference 2 Fax Number*
Please enter a valid fax number.Format: (000) 000-0000.
Trade Reference 3 Name*
Trade Reference 3 Address*
Trade Reference 3 Account Number*
Trade Reference 3 Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Trade Reference 3 Fax Number*
Please enter a valid fax number.Format: (000) 000-0000.
COMMERCIAL CREDIT APPLICATION AND AGREEMENT

WHITE CAP, L.P. D/B/A TRI-SUPPLY & EQUIPMENT

All Sales to applicant will be governed by the Terms and Conditions of Sale attached hereto

BONDING COMPANY
Bonding Company Name*
Bonding Company Address*
YesNo
YesNo
If so, Please Specify
YesNo
Principal's Name*
Principal's Signature*
Spouse's Name*
Spouse's Signature*
Date

MonthDayYear
Date
Account Name*
Signature*
Print Name*
Title*
Please verify that you are human*
Should be Empty:

Commercial Credit Application and Agreement

Banking

Trade References