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Credit Agreement

CREDIT AGREEMENT

WIN Enterprises, Inc.

300 Willow St. South, N. Andover, MA01845

PH: 978-688-2000 FAX: 978-688-4884

Please complete and return via email or Fax

___ Open Account ___ COD Company Check Requested credit limit $: ______________________

Have you ever applied for credit with WIN before? Yes____ No ____ If yes, your Account #: ___________

 

 

Application for:

 

COMPANY INFORMATION

 

Company or Corporation Name: ______________________________________TEL#: ____________________Fax #:___________________

Billing Address: ___________________________________________City: _________________State: _____Zip+4: _____________________

 

Primary Shipping Address: __________________________________City: _________________State: _____Zip+4: _____________________

 

Accounts Payable Contact & Tele #: __________________________Controller's Name & Tele #: ___________________________________

 

Date Company Started Annual Sales Volume Est. Monthly Purchase Volume Dun & Bradstreet (D&B) Number

 

__________________ _________________ ________________________ ___________________________

 

Resale/Sales Tax # REQUIRED Do you require the use of Purchase Orders? Are Financial Statements Available?

___________________________ Yes ____ No ____ Yes ___ No ___ If Yes, please attach.

 

Business is: State of Incorporation: ________________________ Subsidiary of (if applicable): _______________________

___ Corporation

___ Partnership Sole Proprietor or One Partner’s Name: _____________________ Home: Tel.# ___________________________

___ Proprietorship

Address: ________________________________________ Social Security# _____________________________

 

BANKING INFORMATION

 

Bank Name: _________________________________Contact Name: _________________________Tel. #: _______________________

Address:_____________________________________________ Date Account Opened:_______________

Checking Account #_______________________ Saving Account # _________________________ Loan # ______________________

 

Bank Name: _________________________________Contact Name: _________________________Tel. #: _______________________

Address:_____________________________________________ Date Account Opened:_______________

Checking Account #_______________________ Saving Account # _________________________ Loan # ______________________

 

CREDIT INFORMATION

 

Supplier:____________________________________________ Contact Name: __________________________ TEL: ____________________

 

Address:___________________________________________________________ Account Number # _____________________

 

Supplier:____________________________________________ Contact Name: __________________________ TEL: ____________________

 

Address:___________________________________________________________ Account Number # _____________________

 

Supplier:____________________________________________ Contact Name: __________________________ TEL: ____________________

 

Address:___________________________________________________________ Account Number # _____________________

 

Supplier:____________________________________________ Contact Name: __________________________ TEL: ____________________

 

Address:___________________________________________________________ Account Number # _____________________

 

*** Please be sure to complete and sign all pages to ensure that our Credit Dept. can process the application ***