Credit Application for Businesses

CREDIT APPLICATION

We are hereby requesting a credit account with Christopher Towing, Inc. We are presently a:__Corporation __Partnership __Proprietorship Name of Firm_________________ City_________________ Address_____________________ State_____ Zip _______________ Phone#______________________ Ext______ Sales Tax#____________ Type of Business___________________________ Fax#______________ Established Date____________ # of Employees________ The owners and/or officers are: Name_____________________________________ Title______________ Address__________________________________ Phone______________ Name_____________________________________ Title______________ Address__________________________________ Phone______________ Name_____________________________________ Title______________ Address__________________________________ Phone______________ Credit References: Name_____________________________________ Title______________ Address__________________________________ Phone______________ Name_____________________________________ Title______________ Address__________________________________ Phone______________ Name_____________________________________ Title______________ Address__________________________________ Phone______________ Please fill out this bottom portion completely. Terms of Payment: Unless otherwise agreed in writing, applicant agrees to pay the amount due and owing thirty days from the date invoiced in the event payment is not made in accordance with the foregoing. We agree to a service charge of 1-1/2% monthly (annual 18% interest rate) on past due accounts. Dated this________ Day of_______ 19_______ Signed_______________________________ Title ______________ ***GUARANTEE*** The undersigned, in consideration of the applicant herein receiving credit from Christopher Towing Inc., do hereby unconditionally, jointly, and severally guarantee payment of any and all bills or obligations incurred for services performed by Christopher Towing, Inc., for applicant and agree to promptly pay any and all such bills that are not paid by applicant when due. Dated this________ Day of_______ 19_______ Name__________________________ Name__________________________ Address_______________________ Address_______________________ Signature_____________________ Signature_____________________ Accounts Payable Contact _______________________

When you have printed this page from your browser and filled it out, fax credit application
Attention: New Accounts Department
First call to notify @ 973- 523-1909 Fax: 973-523-8443