CREDIT APPLICATION
(Please Answer All Questions)
Fax completed application to 216-433-0101
COMPANY INFORMATION :
All information provided will be for the exclusive use of the accounting/credit department of Pahl Tool Services, Inc. and will remain confidential.
Firm Name : ___________________________________________________________________
Billing Address : _______________________________________________________________
Shipping Address : ______________________________________________________________
Phone : _________________________________ Fax :________________________________
Ownership [] Sole Proprietorship [] Partnership [] Corporation [] Other ________________
At present location since _______________________ Year(s) established ________________
Description of Business ________________________ Annual Sales $ ___________________
Name of Parent Co. ___________________________ Co. Subsidiary ____________________
Resale No. __________________________________ Dun & Bradstreet No. ______________
Name and title of principal owners or corporation officers.
1. ______________________________________ 2. _________________________________
3. ______________________________________ 4. _________________________________
Person to contact regarding purchase orders and invoice payments.
Name and Title : ________________________________________________________________
Address and Phone : _____________________________________________________________
TRADE REFERENCES : (Provide company name, address, contact, and phone number)
1. ___________________________________________________________________________
2. ___________________________________________________________________________
3. ___________________________________________________________________________
4. ___________________________________________________________________________
BANK REFERENCES :
1. Bank Name and Address : ______________________________________________________
Acct. No. _______________________ Contact & Phone : ___________________________
2. Bank Name and Address : ______________________________________________________
Acct. No. _______________________ Contact & Phone : ___________________________
The above information is submitted for the sole purpose of opening an account. I hereby certify the information to be true and correct.
Signature : _____________________________ Title/Date :
AUTHORIZATION TO RELEASE CREDIT INFORMATION
COMPANY NAME BANK NAME
_____________________________________ ____________________________________
Bank Contact : ________________________ Bank Phone : _________________________
Checking Acct. # : _____________________ Savings Acct. # : ______________________
Loan Acct. # : _________________________ Loan Acct. # : ________________________
Our company, ________________________, hereby authorizes the bank to release credit information on our accounts to Pahl Tool Services, Inc. We are presently in the process of establishing credit with them. Please provide all necessary information and return directly to Pahl Tool Services, Inc. to expedite our credit application.
Authorized Signature Print Name and Title Date
__________________________ _________________________________ ____________
Copyright © 2001 Pahl Tool Services, Inc. |