Tri County Business Systems – Credit Application
(PLEASE PRINT THIS OUT AND FAX TO OUR OFFICE – USE PRINT BUTTON BELOW)
TERMS OF SALE: NET THIRTY DAYS-1.5% FINANCE CHARGE ON ALL ACCOUNTS THIRTY-ONE PLUS DAYS PAST DUE.
CORPORATION/BUSINESS INFORMATION:
FULL NAME: ____________________________________________FEDERAL TAX NO.______________________
ADDRESS: ______________________________________________ PHONE NO.__________________________
CITY: _______________________STATE:_____________________ ZIP CODE:____________________________
TYPE OF ORGANIZATION: ¨SOLE OWNER ¨ PARTNERSHIP ¨ CORPORATION
HOW LONG IN BUSINESS:_______ YRS.______________ YEARS AT PRESENT ADDRESS
PREVIOUS ADDRESS:______________________________________________________________________
OWNER OR MANAGER’S NAME: ________________________________PHONE NO._____________________
ADDRESS:______________________________________________________________________________
CORPORATE OFFICERS OR MAJORITY PARTNERS NAME:____________________________________________
ADDRESS: _________________________________________________PHONE NO.____________________
TITLE:___________________________ TYPE OF BUSINESS:______________________________________
BANK REFERENCES:
NAME OF BANK: _____________________ BRANCH:______________________ PHONE NO._________________
TYPE OF ACCOUNT: ______________________________________________ ACCOUNT NO._________________
NAME OF BANK:_____________________ BRANCH: ______________________ PHONE NO._________________
TYPE OF ACCOUNT: ______________________________________________ACCOUNT NO._________________
LOCAL SUPPLIERS:
COMPANY: _____________________________________________________PHONE NO._________________
ADDRESS:________________________________________________________________________________
COMPANY:_____________________________________________________ PHONE NO._________________
ADDRESS:_______________________________________________________________________________
COMPANY: ____________________________________________________PHONE NO._________________
ADDRESS:_______________________________________________________________________________
FOR BILLING PURPOSES:
DO YOU REQUIRE A COPY OF INVOICES TO SUPPORT PURCHASES? ¨YES ¨NO
IF BILLING ADDRESS IS DIFFERENT FROM ABOVE, PLEASE NOT BELOW:
TERMS OF SALE: AN INVOICE ACCOMPANIES EACH PURCHASE MADE IN THE STORE OR SENT VIA DELIVERY. PLEASE REMIT PAYMENT FROM THIS INVOICE AS NO STATEMENT WILL BE RENDERED. THANK YOU.
ALL BILL ARE DUE AND PAYABLE WITHIN THIRTY (30) DAYS. A FINANCE CHARGE F 1.5% PER MONTH WILL BE ADDED AUTOMATICALLY TO ALL ACCOUNTS OVER THIRTY ONE DAYS PAST DUE.
ANY ACCOUNT WITH A BALANCE OVER 60 DAYS WILL BE PUT ON A C.O.D. ONLY BASIS UNTIL ALL OF THE OLD BALANCE IS PAID IN FULL.
FOR THE PURPOSE OF OBTAINING MERCHANDISE FROM YOU ON CREDIT THE ABOVE STATEMENT AS TO THE INFORMATION INVOLVING THE CORPORATION OR BUSINESS, , IS MADE IN WRITING AND IT IS CORRECT AS OF THIS DATE.
IN ADDITION, THE TERMS OF SALE EXPLANATION HAS BEEN READ AND UNDERSTOOD AND WILL BE ADHERED TO IF CREDIT IS EXTENDED TO THIS CORPORATION OR BUSINESS.
DATE: SIGNATURE & TITLE:
AFTER COMPLETING THIS APPLICATION, SIGN AND MAIL TO:
TRI-COUNTY BUSINESS SYSTEMS
855 SOUTH MAIN STREET
SALINAS, CA 93901
OR FAX TO: (831) 758-2595
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