Credit Application Credit Application For Payment Terms CLIENT INFORMATION:Full Legal Name of Company(Required) Address(Required) Address City State / Province / Region ZIP / Postal Code Fed. Tax ID # Telephone(Required)Contact Name Email(Required) Check One(Required) Corporation Partnership Sole Proprietor Date Business Began MM slash DD slash YYYY Type of Business BUSINESS OFFICER'S INFORMATION: Officer Name(Required) Title(Required) Email PhoneOfficer Name(Required) Title Email PhoneCREDIT REFERENCES: 1:Company Name(Required) Email(Required) TelephoneFaxAddress Street Address City State / Province / Region ZIP / Postal Code 2:Company Name Email TelephoneFaxAddress Street Address City State / Province / Region ZIP / Postal Code BANK REFERENCES:Bank Name PhoneAccount # Year Account Opened Bank ContactIn order to complete your application for credit with American Lift & Equipment, Inc., we request that you read and agree to our terms for payment. Our terms are net 20 days. Invoices not paid in full within twenty (20) days may result in your account being placed on credit hold and/or status changed to cod, and may be reported as late to credit reporting agencies. Past due accounts are subject to a 1.5% per month or 18% per annum charge.Consent(Required) I, the undersigned hereby authorize the release of credit information, and request that all loan, credit, bank, trade or other history be given to American Lift & Equipment, Inc. and its assignees. I have read and agree to the terms for payment.CAPTCHA
