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SOLE CONCEPTS,
INC.
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19
Park Avenue - Manhasset, New York 11030
Tel: 516-365-4963 or 718-423-0583 Fax: 516-365-5874 or 718-281-4950 Email: Info@SoleConcepts.com |
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CREDIT
APPLICATION
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| COMPANY INFORMATION |
| Company
Name: ______________________________________ Mailing Address: _________________________ City: _____________ State: ______ Zip: ________ Telephone: ___________________________ Fax Number: _________________ Owner’s Name: _______________________ A/P: _________________________ Years in Business: _____________________ |
| Business Premises: ___ Own ___ Rent _________Federal Tax No.: ________________ |
| Store
Name: ___________________ Shipping Address:________________________ City: _____________ State: ______ Zip: ________ Telephone: ___________________________ _Fax Number: _________________ |
| BANK REFERENCE |
| Bank
Name: __________________ Contact Name: ____________________ Account No.:
________ Branch Address: ________________________ City: _____________ State: ______ Zip: ________ Telephone: ___________________________ Fax Number: _________________ |
| TRADE REFERENCE |
|
1.
Company Name: ____________________ |
2.
Company Name: ____________________ __Address: __________________________ __Telephone: ________________________ __Contact Name: _____________________ |
3. Company Name: ____________________ __Address: __________________________ __Telephone: ________________________ __Contact Name: _____________________ |
| TERMS
OF SALE are 2%/10 days NET 30 days. Overdue accounts will be charged interest at the current rate. |
| To the best of my knowledge the information herein is complete and accurate. Please check: ___ |
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_FOR OFFICE USE ONLY _Credit Manager: ______________________________ Credit Limit: _____________________ _Date: _______________ Special Terms: __________________________________________ |