DOWNLOADABLE VERSION
To apply for a charge account please begin by filling out the following credit application:
First, what type of account would you like to create? Charge AccountCash Account
[group group-all]
Business Name
Phone eg: (xxx) xxx-xxxx
Address
City
State
Zip Code
Email Address
Fax eg: (xxx) xxx-xxxx
Cell eg: (xxx) xxx-xxxx
Nature of Business
Type of Business CorpPartnershipProp
Federal ID#
[group group-charge]
SSN#
[/group]
Start Date(Year)
Tax Exempt?
If 'yes', please submit a sales tax exemption certificate for your state after submitting this form.
YesNo
Require P.O? YesNo
Invoices are not mailed. Would you like yours to be... EmailedFaxed
Property OwnedRented
[group group-rented]
If Rented: Landlord: Phone:
Owners Name
Owners Address
Primary Bank
Bank Contact Person
Name three trade references you currently have an open account with.
Reference 1
Reference 2
Reference 3
All accounts are due & payable according to terms stated on your invoice copy.
Any account with a balance 90 days old will be placed on a C.O.D. basis.
Charge privileges will be reviewed before credit is reinstated.
Finance charges will be charged on all overdue balances at 1.5% per month, 18% per year
In the event credit is extended, the applicant agrees to pay all costs & expenses (including actual & reasonable attorney fees) incurred by ABS in collection of any outstanding accounts.
I authorize the credit manager of Auto Body Specialties, Inc. to obtain a written or oral report necessary for the purpose of decision on credit.
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