Business Credit Application
For the purpose of obtaining credit privileges, I/We make the following representations and agree to pay according to the terms of NET 30 DAYS. Failure to pay within these terms will result in my account being placed on a CASH ONLY basis. I/We acknowledge that 1% will be charged on all overdue charges. All accounts must be PAID IN FULL by the 30th day of the following month.
Business Contact Information
Company {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Contact Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Fax {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Registered Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Commencement Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Owners & Partners
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Position {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Position {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Position {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Credit Info
Primary Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Accounts Payable Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Fax {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Tax # {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Anticipated Amount of Credit Needed Per Month {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Business References
Company #1 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Company #2 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Company #3 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Additional Comments
Untitled {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
Agreement
(1) ALL INVOICES ARE TO BE PAID IN FULL 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 SHERWOOD PARK CHEVROLET TO MAKE INQUIRIES INTO THE BANKING & BUSINESS/TRADE REFERENCES THAT YOU HAVE SUPPLIED. (4) IF NO PURCHASE ORDERS ARE REQUIRED, I/WE ACCEPT FULL RESPONSIBILITY FOR ITEMS CHARGED TO MY/OUR ACCOUNT.
Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Manager's Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}