Instructions
Completing the credit application provides AVGROUP with the necessary information to access the approval of a Net 30 account. The following items must be completed:References should not be landlords, fuel suppliers or utilities.Submit sales tax exemption certificateCredit AgreementThe undersigned (hereinafter referred to as "Customer") hereby makes this application for credit on Net 30 terms to AVGROUP, Inc. (hereinafter referred to a "AVGROUP"). AVGROUP, at its sole discretion, shall have the right to terminated any credit extended, at any time without notice. Any account over 15 days past due will be placed on credit card terms and will not be returned to Net 30 until the account is current and has been reviewed by the Controller. Customer acknowledges that the information furnished to AVGROUP in connection with this application, or in any other oral or written form, will be relied upon by AVGROUP in extending credit to Customer and represents and warrants that such information is true, accurate and complete to the best of our knowledge, information and belief.
Full Legal Business Name
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Date
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Month
/
Day
Year
Date
Company Website
*
Job Title
*
Phone Number
*
Please enter a valid phone number.
Contact Email
*
example@example.com
Signed By
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First Name
Last Name
Amount Requested
In US Dollars
Signature
*
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Address
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Same as Shipping
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Organization
Choose organization type:
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Corporation
Partnership
Proprietorship
Subsidiary
Date of Incorporation
*
/
Month
/
Day
Year
Date
FEI/EIN Number
*
Tax Exempt Number (if applicable)
Primary Business
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Please Select
Parts Dealer
Flight Department
Maintenance Shop
Other
(if applicable) Former Name(s) Under Which the Business Operated (separate with a comma)
Number of Employees
*
Number of Locations
*
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Historical Information
Have there been filings of litigation, or is there any litigation pending against you or your company at this time?
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Yes
No
Have any local, federal, or state tax liens ever been filed against your company?
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Yes
No
Have any local, federal, or state tax liens ever been filed against your company?
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Yes
No
Has your company / partnership / proprietorship filed bankruptcy within the last 5 years?
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Yes
No
Do you have a Tax Exemption Certificate?
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Yes
No
Please upload your Tax Exemption Certificate
*
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Trade References
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