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CREDIT APPLICATION – CUSTOMER INFORMATION SHEET
Thank you for your interest in our product. We appreciate the opportunity to serve as one of your suppliers. Please complete the following for our records and return via E-mail at idonahue@tmcri.com or Fax it to us at 401-596-3915 with your most current financial statement.
OFFICERS:
Business Name
Address
E-Mail Address
Telephone Fax .
Years In Business
Parent organization
TRADE REFERENCES
1.
Name
Address
Phone Fax
2.
Name
Address
Phone Fax
3.
Name
Address
Phone Fax
BANK REFERENCES:
Bank Name Account No .
Address
Telephone No Account Manager
Fax
Expected monthly credit requirement
In consideration of open credit status, we hereby agree to make payment to Darlington Fabrics Corp. in accordance with your Net 60 day Terms of Sale. If we extend payment more than 5 days beyond terms, we agree to pay interest at the rate of prime, plus 3.5% on the unpaid balance for the number of days late. You may check references given to substantiate the credit line requested. Our business is solvent, if it becomes insolvent, we will notify you within 5 business days via certified mail. Return via electronic means constitutes acceptance of said terms & conditions.
(authorized signature)
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