Credit Application Form

Credit Application Form

Associated Hardwoods, Inc.
PO BOX 491

GRANITE FALLS, NC28630

APPLICATION FORCREDIT

maura@associatedhardwoods.com
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Fax Number
Please enter a valid fax number.
Plant Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Plant Location:

(1) Proprietor:
Home Address:
Or Home Phone:

(2) Partnership Names #1:
#2:
Or Home Address #1: Phone
#2: Phone

(3) Corporation Name:
Address:
Answer The Above Questions*
Name of Manager:

Where will the bills be paid from:

Will invoice be on discount terms: Other:

Length of time in operation at this address:

Leased: (Yes) (No) From Whom:

Own Building: (Yes) (No) Name of Title:
Answer The Above Questions*
Name of Bank: Phone:
Name of Bank Representative that handles your account:

Principal Suppliers, Address, Phone Number, and Fax Number
(1)
(2)
(3)
(4)

Sales Tax Exempt # _______________________ (Fax A Copy of Sales Certificate Along With Application)
Answer The Above Questions*
Signature*

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Title* Date* Company Name*
Office use only:

Account #: _______________________________
Salesman: _______________________________
Signature: _______________________________
County: _______________________________
Freight Rate: _______________________________
Should be Empty: