Advanced Fastening Supply - Application for Credit

Credit Limit Requested *

USD

REQUIRED INFORMATION TO PROCESS YOUR APPLICATION

Name *

Business Name *

Email Address *

Business Address *

Ship-to Address if Different from Billing

City *

State *

Zip *

County *

Phone *

Fax *

Date Business Started *

Select Your Business Structure *

Individual Partnership Corporation Other

Are purchase orders or job names required? *

Yes No

Personnel Authorized to Purchase

Federal Tax ID # *

Seller's Permit # *

TRADE REFERENCES – INQUIRIES CONDUCTED BY FAX ONLY

1. Name & Address, Contact Person and Fax *

2. Name & Address, Contact Person and Fax *

3. Name & Address, Contact Person and Fax *

BANKING REFERENCE

Name & Address, Contact Person and Fax *

Account # (Optional)

Please check off the following, certifying that you have read, understand and will comply with our terms for extending credit: *

The buyer(s) whose signature(s) appear(s) below agree(s) to pay for all purchases within terms of NET 30 DAYS. Terms are set from the date on the invoice. Should any collection action become necessary, the buyer(s) agree(s) that he/she/they will pay all costs and expenses of the collection action, in addition to all unpaid balances. Said costs are to include reasonable legal fees. The undersigned buyer(s), individually and as an owner/officer of the company, has/have read, understand(s) and agree(s) to all of the above, attested thereto by the signature below. The information given on this application is warranted to be true. Authority is given by me/us to investigate references listed to obtain information regarding my/our credit and financial responsibilities.

Principal Owner/Officer *

Title *

Once you submit your credit application, Advanced Fastening Supply will begin the credit check process which may take up 7-10 business days. We will contact you with final credit terms or any additional questions have.

Application for Credit

Application for Credit

REQUIRED INFORMATION TO PROCESS YOUR APPLICATION

TRADE REFERENCES – INQUIRIES CONDUCTED BY FAX ONLY

BANKING REFERENCE

Once you submit your credit application, Advanced Fastening Supply will begin the credit check process which may take up 7-10 business days. We will contact you with final credit terms or any additional questions have.

We specialize in custom orders.

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