Application For Credit

Application For Credit

(Must supply copy of certificate with application)

NAMES, TITLES, AND ADDRESSES OF OWNERS, PARTNERS AND/OR OFFICERS :

TRADE REFERENCES

Company

Contact Person

Phone

BANK REFERENCE

Bank

Contact

Phone Number

Checking Acc Number

(On credit requests greater than $20,000)

Unconditional And Irrevocable Guaranty

hereinafter known as “Company” each personally guarantee to you payment at Surfaces by Pacific of any obligation of the Company and I/we hereby agree to bind myself/ourselves to pay you on demand any sum and all expenses of collection of the obligations and guaranty hereunder, including reasonable attorney’s fees, which may become due to you by the Company whenever the Company should fail to pay the same. I/we certify that all information provided is accurate and current. I/we agree to all terms and conditions of sale of Surfaces by Pacific. I/we also agree that all trade and bank references listed may release information to assist in the credit approval and collection process.
Signature without Title
Individually and as an authorized agent of the Company
Signature without Title
Individually and as an authorized agent of the Company
This form must be filled out completely to avoid delays in processing.