FDF
CreditData.pdf
[Company Name]
CREDIT APPLICATION FOR A BUSINESS ACCOUNT
BUSINESS CONTACT INFORMATION
Title
Date business commenced
Company name
Sole proprietorship
Phone | Fax
Partnership
E-mail
Corporation
Registered company address
City, State ZIP Code
Other
BUSINESS AND CREDIT INFORMATION
City, State ZIP Code
Bank name:
How long at current address?
Primary business address
City, State ZIP Code
Phone
Phone
Fax
Account number
E-mail
Type of account
Savings
Checking
Other
BUSINESS/TRADE REFERENCES
Company name
Phone
Address
Fax
City, State ZIP Code
E-mail
Type of account
Other
Company name
Phone
Address
Fax
City, State ZIP Code
E-mail
Type of account
Other
Company name
Phone
Address
Fax
City, State ZIP Code
E-mail
Type of account
Savings
Checking
Other
Other
AGREEMENT
1.
All invoices are to be paid 30 days from the date of the invoice.
2.
Claims arising from invoices must be made within seven working days.
3.
By submitting this application, you authorize [Company Name] to make inquiries into the banking and business/trade references that you
have supplied.
SIGNATURES
Signature
Signature
Name and Title
Name and Title
Date
Date