Hunt Lumber Credit Application

Hunt Lumber Credit Application

Hunt Lumber Credit Application
Legal Business Name*
Trade Name - DBA
Phone Number
Please enter a valid phone number.
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shipping Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Structure
Year Started
State of Incorporation
Federal ID #
Website
Dun & Bradstreet #
Do you require a purchase order number?

YesNo
Terms Requested

CODCredit CardNet 30
A/P Contact

First NameLast Name
A/P Email
example@example.com
A/P Phone Number
Please enter a valid phone number.
Estimated Monthly Purchases $
Credit Limit Requested $
Select One

PrincipalPartnerProprietor
Name

First NameLast Name
Social Security #
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com

Bank References
Type of Account
Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Savings Account #
Checking Account #
Loan Account #

Trade References
Trade Reference #1 Name
Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Account #
Trade Reference #2 Name
Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Account #
Trade Reference #3
Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Account #

Payment is due 30 days after invoice date.

A service charge of 1.5% per month will be applied to all past due invoices. In the event Hunt Lumber & Supply, Inc. refers a past due invoice or any portion thereof for collections, the Purchaser agrees to pay all fees associated with collection of amount due.
Name

First NameLast Name
Signature

Clear
Title
Date

MonthDayYear
Date
Email
example@example.com
Should be Empty: