Gruber’s Power Equipment  

Credit Application for a Business Account

Business Contact Information

Title:

Company name:

Phone:

Fax:

E-mail:

Registered company address:

City:

State:

ZIP Code:

Date business commenced:

Sole proprietorship:

Partnership:

Corporation:

Other:

Business and Credit Information

Primary business address:

City:

State:

ZIP Code:

How long at current address?

Telephone:

Fax:

E-mail:

Bank name:

Bank address:

Phone:

City:

State:

ZIP Code:

Type of account

Account number

Savings

Checking

Other

Business/trade references

Address:

City:

State:

ZIP Code:

Phone:

Fax:

E-mail:

Type of account:

Company name:

Address:

City:

State:

ZIP Code:

Phone:

Fax:

E-mail:

Type of account:

Agreement

1.   All invoices are to be paid 30 days from the date of the invoice unless otherwise noted.

2.   Claims arising from invoices must be made within seven working days.

3.   By submitting this application, you authorize Gruber’s Power Equipment to make inquiries into the       banking and business/trade references that you have supplied.

Signatures

Title:

Date:

Title:

Date: