CREDIT APPLICATION
Financial & Office Systems, Inc.
Home of NetBankStore.com

AFTER COMPLETING THIS FORM, PLEASE PRINT, SIGN AND FAX TO: 1-800-955-4544

 

Date: _____________

Your Company (bill to location):

Company Name: ___________________________________________________________________

Address: _________________________________________________________________________

City: ____________________________________________ State: __________ Zip _____________

Phone: ___________________________

Fax: ___________________________

Accounts Payable Contact Person: ____________________________________________________

Bank Name: __________________________ Bank Phone#________________________________

Bank Address: _____________________________________________________________________

Bank Account Representative: ________________________________________________________

Tax Exempt I.D. # (if applicable): ______________________________________

How many years in business: ___________________

How many years @ current location: _____________

Credit References:

Company Name

Contact Person in Credit Department

Phone

Fax# *MUST HAVE

Contact Person

 

 

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I am certain that all of the above information is current and accurate to the best of my knowledge. I agree to pay our bills in 30 days or less.

Signature ______________________________________________ Date _________________________

Title __________________________________________________________________________________