Credit Application for Business Accounts

Company Type

Company Name

Federal Tax ID

State Contractor ID Number

Years in Business

Phone Number

Area CodePhone Number

E-mail

Accounts Payable Contact

First NameLast Name

Accounts Payable Phone

Area CodePhone Number

I consent to receive account statements and account communications electronically at the email address provided above

Mailing Address

Physical Address

CityState / ProvincePostal / Zip CodeCountry

Business Physical Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Business Owner/Partner

First NameLast Name

Applicant Social Security Number

Owner Phone

Area CodePhone Number

Co-Owner

First NameLast Name

Co-Owner - Social Security Number

MUST BE COMPLETED IF CO-OWNERS

Co-Owner Phone

Area CodePhone Number

Bank Name

Bank Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Bank Phone Number

Area CodePhone Number

Commercial Trade Reference: Company Name

Phone Number

Area CodePhone Number

E-mail

Commercial Trade Reference 2: Company Name

Phone Number 2

Area CodePhone Number

Do you require purchase order on invoices?

Purpose for Account

Names Allowed to Charge on Account

Agreement and Terms

The above information is for the purpose of obtaining credit and is warranted to be true I/we hereby authorize the bank and credit references listed here-in to release all information requested. It is understood that all information will be kept confidential. I/we also hereby authorize Western Building Center to contact the financial and trade references (including those listed here-in) and any credit reporting agencies to obtain credit information.

Agreement and Terms

Terms, Conditions, and Credit Agreement

Accuracy of Information & Credit Authorization: The information provided in this application is for the purpose of obtaining credit and is warranted to be true and accurate.

Authorization to Verify: I authorize Western Building Center to contact the financial and trade references listed above, as well as any credit reporting agency, to obtain relevant credit information.

Authorization to Release: I authorize all listed banks, trade references, and credit reporting agencies to release any and all requested information to Western Building Center.

Consumer Credit Reports: I expressly consent to Western Building Center’s use of a non-business consumer credit report to further evaluate the creditworthiness of the undersigned as a principal, proprietor, and/or guarantor in connection with this application. This authorization extends to the utilization of consumer credit reports from time to time to evaluate the continuation or extension of business credit, consistent with the Federal Fair Credit Reporting Act (15 U.S.C. § 1681 et seq.).

Payment Terms, Interest, and Collection Fees

Payment Due Date: I understand and agree that all account balances are to be paid in full by the 10th day of the month following the date of purchase.

Late Fees: A service charge of 1.5% per month will be applied to all past-due account balances.

Collection Costs: In the event legal action or third-party collection efforts are required to recover past-due balances, the applicant agrees to pay all reasonable collection costs, interest, penalties, and attorney fees.

Right to Lien: As permitted by law, Western Building Center reserves the right to file a Notice of Right to Lien on the property owner where materials are supplied.

Account Changes and Personal Guarantee: Notification of Change: Western Building Center must be notified in writing of any sale, business name change, or change in ownership. If such notice is not provided, the original applying owner will remain fully accountable for any outstanding balance due.

Personal Guarantee: I hereby agree to the terms and conditions of credit and personally and individually guarantee all indebtedness incurred on this account.

Equal Credit Opportunity Act (ECOA) Notice

The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract), because all or part of the applicant’s income derives from any public assistance program, or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The Federal Trade Commission administers compliance with this law.

Privacy Disclaimer & Data Protection Notice: Confidentiality & Privacy Assurance: Western Building Center is committed to protecting your privacy. All financial, personal, and trade information collected during this application process will be kept strictly confidential.

Information Use: Your data will be used solely for the purpose of evaluating creditworthiness, establishing your credit account, and ongoing account management.

Information Sharing: We do not sell, rent, or lease your personal or business information to third parties. Information is only shared with credit bureaus, references, or legal entities as explicitly authorized by you in this agreement or as required by law

Data Security: We implement industry-standard physical, electronic, and procedural safeguards to secure your sensitive data against unauthorized access, loss, or disclosure.

By signing below, I acknowledge that I have selected my preferred statement delivery method above. I understand that I may change my statement delivery preference at any time by contacting Western Building Center's Accounts Receivable Department.

Acknowledgment and Signature: By signing below, I acknowledge that I have read, understood, and agree to the Terms and Conditions of Credit and the Privacy Disclaimer stated above.

Enter the word as it's shown

Owner Signature

Co-Owner Signature

Western Building Center

Business and Credit Info

Business References

Agreement