CREDIT INFORMATION

Recycle Away | Trashcans Warehouse Credit Application
BUSINESS INFORMATION
Company name*
Primary contact name*
Primary contact title*
Primary contact phone*
Primary contact email*
example@example.com
Primary business address*

Street Address

Street Address Line 2

CityState

Zip Code
Accounts payable contact*
Accounts payable phone*
Accounts payable email*
example@example.com
CREDIT INFORMATION
Date business commenced*

MonthDayYear
Date
Physical company address*

Street Address

Street Address Line 2

CityState

Zip Code
How long at current address?*
Type of business*

Sole proprietorshipPartnershipCorporationOther
Federal ID#*
Duns # (if available)
Credit Requested*
Bank name*
Bank Contact*
Primary business address (Bank)*

Street Address

Street Address Line 2

CityState

Zip Code
Bank Phone*
Bank Account number
Type of bank account*

CheckingSavingsOther
AGREEMENT
1.All orders are pre-paid until Customer's application for credit is approved. Standard terms are Net-30. Customer accounts are subject to a late charge of 1.50% per month (18% per annum) on all invoices greater than 90 days past due. Furthermore, orders will not be shipped if Customer's account is past due and any collection fees (including attorney fees) and related costs will be charged to Customer's account.

2. By submitting this application, you authorize Recycle Away, LLC to make inquiries into the banking references that you have supplied.
SIGNATURES
Signature*

Clear
Name and Title*
Date*

MonthDayYear
Date
Recycle Away, LLC | Trashcans Warehouse

35 Frost St. Brattleboro, VT 05302

Tel: (800) 664-5340

Fax: (888) 506-0210
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Recycle Away | Trashcans Warehouse Credit Application

BUSINESS INFORMATION

CREDIT INFORMATION

AGREEMENT

SIGNATURES