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Skylight Specialists, Inc.
APPLICATION FOR CREDIT
Business Legal Name______________________________________d/b/a _____________________
Physical Address________________________________City/State/Zip________________________
Name(s) of Principals:_________________________________________
Social Security # of Principals: __________________
Home address of one Principal: _________________________________________________
Ph.#_________________Fax #________________
Organization Type O - Partnership O - Proprietorship O - Corporation Fed ID #________
Years in business_________ Years in location_______ D & B Rated_____________
Trade References:
Name_______________________________Address_______________________Fax#____________
Name_______________________________Address_______________________Fax# ___________
Name_______________________________Address_______________________Fax#____________
Bank References:
Account # ___________ Name______________Address_______________________Ph _______
Account # ___________ Name______________Address_______________________Ph _______
Accounts Payable Information
Billing Address _____________________________________________________________________
City/State/Zip ______________________________________________________________________
A/P Contact ________________________ Phone______________ Fax ________
Sales Tax Exempt #, if applicable __________________________
Do you require P.O.'s? O Yes O No Authorized Purchasing Agent(s) ________________________
_________________________________________________________________________________
Terms
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Terms are that which are stated on invoices. All amounts are due in accordance with stated terms.
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Past due balances are subject to a service charge of a maximum permitted by state law and not less than $15.00.
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In the event the customer fails to pay for services or products rendered by Skylight Specialists, Inc. customer will be responsible for all legal fees and collection expenses.
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All invoices will be taxed unless Skylight Specialists, Inc is furnished with a tax exempt certificate.
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The undersigned authorizes above mentioned banks and companies to release the information requested by Skylight Specialists, Inc. for inquiry as to credit information.
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We further acknowledge that credit privileges, if granted, may be withdrawn at any time.
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Applicants signature attests financial responsibility, ability and willingness to pay our invoices in accordance with these terms.
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I hereby personally guarantee to you the payment of any obligation of the Company, including matters covered by lines 1-7 above, whenever the Company shall fail to pay such obligation upon demand. It is understood that this guaranty shall be a continuing and irrevocable guaranty and indemnity for such indebtedness of the Company. I do hereby waive notice of default, nonpayment and notice thereof and consent to any modification or renewal of the credit agreement hereby guaranteed.
APPLICANT AGREES THAT EXTENSION OF CREDIT BY SELLER SHALL BE SUBJECT TO, AND IN CONSIDERATION OF, THE TERMS 1-8 LISTED ABOVE
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Signature
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Print Name & Title
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Date
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