Credit Agreement
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CREDIT AGREEMENT |
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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 |
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___ Open Account ___ COD Company Check Requested credit limit $: ______________________ |
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Have you ever applied for credit with WIN before? Yes____ No ____ If yes, your Account #: ___________
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Application for: |
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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# _____________________________ |
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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 # ______________________
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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 # _____________________
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*** Please be sure to complete and sign all pages to ensure that our Credit Dept. can process the application *** |
