Commercial Credit Application

Commercial Credit Application
Hovis Location - (Store you will be purchasing from)
Hovis Salesman - (If you see one currently)
Company Name
DBA Name
Date Business Established

MonthDayYear
Date
Delivery Address
Phone
Business Description:

Repair ShopDealershipBody ShopFleetGov'tOther
Billing Address
Sales Tax Exempt #
(If yes, a tax exempt form will need to be submitted separately)
Account Type

CashCredit
PO Required?

YesNo
Accounts Payable Contact Name
Electronic Statements (By selecting yes, you will no longer receive a paper statment):

YesNo
Electronic Invoices:

YesNo
Phone
Email
example@example.com
Fax
Please enter a valid phone number.
If applying for credit, list 3 credit references with complete address, phone, fax, and e-mail (no auto parts stores or banks)
1.
2.
3.
Owner Name
Home Address
I certify that I am an authorized representative with authority to enter into this agreement and the information contained in this Application is true, correct, and complete. If credit is extended, I agree to be bound by all the terms and conditions on Vendor's invoices.
Print Name
Signature

Clear
Date

MonthDayYear
Date
Should be Empty: