phoenixtape.com |
Please print out this Business Credit Application, fill It Out Completely and fax to us at 803-736-0106 |
BUSINESS CREDIT APPLICATION PERSONAL GUARANTEE |
I/WE do hereby apply for a line of credit with Phoenix Tape & Supply Company and For this purpose we submit the following for your consideration. |
BILLING ADDRESS
Name ___________________________________ Street or PO Box __________________________ City/State/Zip_____________________________ Telephone________________________________ |
SHIPPING ADDRESS
Name ___________________________________ Street ___________________________________ City/State/Zip_____________________________ Fax: ____________________________________ |
_______ Partnership | _______ Corporation | ________ Proprietorship |
(Include State of Incorporation and date established_____________________________________ |
Name of Owner ________________________________ Address _______________________________ |
City________________ State________ Zip __________ Home Phone:__________________________ |
PLEASE LIST THREE (3) REFERENCES THAT YOU HAVE DONE BUSINESS WITH AT LEAST 2 YEARS. |
Company Name | Mailing Address | City/State | Zip Code | Phone # | Fax # |
____________________
____________________ ____________________ |
____________________
____________________ ____________________ |
_________
_________ _________ |
_________
_________ _________ |
_________
_________ _________ |
_________
_________ _________ |
Bank Account Number ___________________ Mailing Address
______________________________
City _____________State _____ Zip _______ Phone _____________ Fax: ______________ |
*I/WE agree to guarantee payment when due,
on all charges or purchases made by any firm or individual against this
account, whether charged by themselves, their agent (s), apparent agent
(s) or any person (s) who purports to act on my/our behalf *In consideration of your extending credit, I/We unconditionally guarantee payment when due, of any and all present or future indebtedness owed to you by the above named firm or individual applicant and agree to pay such indebtedness if default in payment thereof be made by the debtor. |
(OWNER/CORPORATE C.E.O. / MANAGING
PARTNER)____________________________________ PLEASE PRINT YOUR NAME __________________________________________________________ Address ______________________________________ Social Security # ________________________ Date: _______Person Responsible for Accounts Payable ______________________ Phone:____________ |