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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 ***