CREDIT APPLICATION

 

APPLICATION FOR CREDIT/BILLING INSTRUCTIONS           601 Nursery Road    Linthicum,    MD    21090     800-468-4278     443-773-7000     Fax:  443-773-7001     Sales@bigfishart.com  TERMS:  Net 30 days.  Service charge of 1 1/2% per month on accounts past 30 days. Attorney fee of 25% on accounts placed for collection.  Transfer of title takes place upon receipt of full payment.   Date_________________________ Phone #______________ Legal Name___________________ Fax #________________ Trade Name (if different)__________________ E-Mail____________________ Address________________________________ City_______________________ State/Zip_______________________ Duns #______________________ State Exemption #__________________ Lyons #________________________ Type of Business_______________________ Federal Tax ID #__________________ Trading Individual   Partnership  Corporation Date of Incorporation__________________________ State Where Incorporated________________________ Business Premise  Owned  Leased Landlord_______________________ Phone #_______________ Address________________________ City_________________ State/Zip_______________________ Bank Reference__________________________ Phone #_________________ Address_____________________________ Contact________________________ State/Zip_____________________ Account #________________________ Have you ever filed for bankruptcy in the past 7 years?   Yes No Do you require purchase order numbers on invoices?     Yes No Note other special billing instructions_________________________________________ Your Accounts Payable Contact____________ Phone#__________________ Trade References: (Please Complete every line) Name____________________ Name___________________ Address___________________ Address__________________ State/Zip__________________ State/Zip_________________ Phone #__________________ Phone #______________ Fax #_________________ Fax #_______________ Account #____________________ Account #_________________ Name______________________ Name__________________ Address____________________ Address_________________ State/Zip___________________ State/Zip_________________ Phone #____________________ Phone #_______________ Account #____________________ Account #________________ SIGNATURE__________________________________ DATE________________ PLEASE ATTACH A COMPLETED CERTIFICATE OF RESALE