Credit Application
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TYPE OF BUSINESS
Principal Name:
Owner
Partner
Officer
Firm Name:
Address:
Address2:
City:
State/Prov:
Zip/Postal Code:
Phone
:
Fax:
Email Address:
Type of Business:
Partnership
Proprietorship
Corporation - State of:
Yr. Business Established:
Federal Tax ID#:
Taxable
Tax Exempt
(must provide resale cert.)
Describe Business:
Name & Title of
Authorized to Purchase:
BANK REFERENCES
(if account is less than 1 year old , please provide previous account information)
Bank Name:
Since:
Phone:
Fax:
Email:
Address:
City:
State:
Zip:
Account #:
Bank Name:
Since:
Phone:
Fax:
Email:
Address:
City:
State:
Zip:
Account #:
TRADE REFERENCES
Name:
Account #:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Name:
Account #:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Name:
Account #:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Estimated Monthly Purchases from Woodland International, Inc.
$
Your Name & Title:
The applicant agrees, if approved: To pay the account in full Net 30 days from the invoice date (Net 30). A finance charge of 1-1/2% per month (18% a year) will be added to all past due accounts. Title to goods remains with Woodland International, Inc. until the account is paid in full. In case collection activity must be initiated by Woodland International, Inc., all reasonable collection and attorney fees, and court costs will be born by the applicant. Everything that I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or not it is approved. You are authorized to check my credit and employment history and to answer questions about your credit experience with me.
