33 Threads Credit Application

Credit Application
Name / Address Information of Applicant
Full Name

Last NameFirst NameSuffix
Title
Email
example@example.com
Credit Limit Request
Name of Business
33 Threads Account # (if known)
Tax ID#
Company Website
Business Address

Business Address

Street Address Line 2

CityState / Province

ZipCountry
Phone
Format: (000) 000-0000.
Fax
Home Address

Home Address

Street Address Line 2

CityState / Province

ZipCountry
Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Company Information
Type of Business
In Business Since
Year
Legal Form Under Which Business Operates:
If Division/Subsidiary, Name of Parent Company
Name of Company Principal Responsible for Business Transactions
Full Name
Title
Email
example@example.com
Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Address Of Principal Responsible for Business Transactions

Address

Street Address Line 2

CityState / Province

ZipCountry
Is there another Company Principal Responsible for Business Transactions?
Name of Company Principal Responsible for Business Transactions (if applicable)
Full Name
Title
Email
example@example.com
Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Address Of Principal Responsible for Business Transactions

Address

Street Address Line 2

CityState / Province

ZipCountry
Bank References
Bank Institution Name #1
Business Checking Acct #
Bank Address
Full Address
Phone
Format: (000) 000-0000.
Bank Institution Name #2
Business Savings Acct #
Bank Address
Full Address
Phone
Format: (000) 000-0000.
Trade References
Company Name #1
Contact Name
Full Name
Contact or Business Phone#
Format: (000) 000-0000.
Address
Full Address
Account Open Since
Terms
Current Balance
Company Name #2
Contact Name
Full Name
Contact or Business Phone#
Format: (000) 000-0000.
Company Address
Full Address
Account Open Since
Terms
Current Balance
Company Name #3
Contact Name
Contact or Business Phone#
Format: (000) 000-0000.
Company Address
Account Open Since
Date
Terms
Current Balance
I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein. We agree to conform to 30-day Net Terms and to pay all collection expenses incurred by ToeSox Inc. and in collecting past due amounts, late fees, and accrued interest. Accounts not paid within term are subject to a 1.5% monthly finance charge.
Signature
Print Name
Date

MonthDayYear
Date
Partner Signature (if applicable)
Print Name
Date

MonthDayYear
Date
Should be Empty:

Credit Application

Name / Address Information of Applicant

Company Information

Bank References

Trade References