• Image-17

  • DNJ ENGINE COMPONENTS, INC

    APPLICATION FOR CREDIT
    8960 LURLINE AVE
    CHATSWORTH, CA 91311
    PHONE: (800) 981-7625 FAX: (818) 718-0588

  •  - -
    Pick a Date

  • Business Name * Phone *  Fax:    

  • Mailing Address                 

  • Shipping Address                 

  • E-mail Address   *   Web Site             

  • The federal tax ID number 

  • State Resale Number        

  • Former Business Address

  • Type of Business * Date Established

  • Principal:                                

  • Principal:                                

  • Principal:                                

  • TRADE REFERENCES

    (Name Suppliers of Major Products and services)

  •             

  •             

  •            

  • * * *  *         

  •            

  •            

  • Person to Contact about Account: * *

  • No. of EmployeesEst. Annual Sales $ Sales Area

  • Address Phone

  • Other Business Debts

  • NAME ADDRESS    BAL. DUE   

  • NAME ADDRESS    BAL. DUE   

  • ___________________________________________________________________________________________________________________

    The undersign will/will not submit a financial statement. Any misrepresentation in this application will be considered evidence of fraud, since this information is the basis for the granting of credit.

    As an inducement to grant credit, the undersigned warrants that the information submitted is true and correct. You are authorized to investigate the credit references listed.

    _______________________________________________________________________________________________

  • PERSONAL GUARANTEE

    In consideration of credit being extended by DNJ ENGINE COMPONENTS, INC. to the above named applicant for merchandise to be purchased whether applicant be an individual or individuals, a proprietorship, a partnership, a corporation or other entity, the undersigned guarantor or guarantors each hereby contract and guarantee to DNJ ENGINE COMPONENTS, INC. the faithful payment, when due, of all accounts of said applicant for the purchases made within five years next after the date of this application. The undersigned guarantor or guarantors each hereby expressly waive all notice of acceptance of this guarantee, notice of extension of credit to applicant, presentment, and demand for payment on applicant, protest and notice to undersigned guarantor or guarantors of dishonor or default by applicant or with respect to any security held by DNJ ENGINE COMPONENTS, INC. extension of time of payment to applicant, acceptance of partial payment or partial compromise, all other notices to which the undersigned guarantor or guarantors might otherwise be entitled and demand for payment under this guarantee. Absent written permission by creditor, this personal guarantee may not be revoked. This guaranty shall be construed under and governed by the laws of the State of California. The undersigned consents to the personal jurisdiction of the Federal and State Courts located in the State of California, waives any argument that such a forum is not convenient, and agrees that any litigation relating to the guarantee shall be venued in either the State or Federal courts in the State of California.

    _______________________________________________________________________________________________

  • *

  • Clear
  • Should be Empty: