RES Commercial Credit Application

Commercial Credit Application
Applicant Information
Company Name*
Accounts Payable Contact*
Accounts Payable email address*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Business (Select One):

Sole ProprietorshipPartnershipCorporationOther
Year Established*
Projected Annual Purchases ($):*
Amount of Credit Requested ($):*
Bank Reference
Bank Name*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Account Number*
Account Type*

CheckingSavings
Email*
example@example.com
Phone*
Business/Trade References

A vendor, supplier or other business with whom you have or had a line of credit. Examples: chainsaw suppliers, chipper distributors, auto mechanics, office suppliers
Would you like to attach a file, fill out the Business/Trade References or Both?*

Attach Business/Trade References FileFill out Business/Trade Reference FieldsBoth
Business/Trade References File

Cancelof
Business/Trade Reference #1
Business Name*
Account Type*
Net 30, Credit Card, etc.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone*
Business/Trade Reference #2
Business Name*
Account Type*
Net 30, Credit Card, etc.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone*
Business/Trade Reference #3
Business Name*
Account Type*
Net 30, Credit Card, etc.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone*
To whom it may concern:*

I authorize Rainbow Ecoscience to obtain and exchange any necessary information, including bank and trade references, in connection with this application. I understand some references may require this authorization before releasing account history, and all information will be kept strictly confidential.
Signature
Date Stamp

MonthDayYear
Date
Name*
Title*
Business Name*
Email*
example@example.com
City, State*
Should be Empty:

Commercial Credit Application

Applicant Information

Bank Reference

Business/Trade References

Business/Trade Reference #1

Business/Trade Reference #2

Business/Trade Reference #3