Application for Commercial Charge Account
Desired Line of Credit: $
Email:
Date:
Company Name:
Street Address:
Phone #:
City:
State:
Zip:
Fax:
Type of Business:
No. of Years Established:
Corporation
Co. Partnership
Limited Partnership
Individual Proprietor
Important Tax Information
4.0%
5.0%
5.5%
6.0%
6.5%
Tax Exempt
(Other:)
Tax ID#:
If a Branch Office or a Division - give name of Parent
Company or Home Office
Mailing Address for Accounts Payable Statements:
Principle Owners - Partners - Officers of the Company
Name:
Mailing Address:
City:
State:
Zip:
Persons Authorized by your Company to make Purchases
List All Authorized Persons:
Trade References
Names:
Addresses:
Bank References
Bank Name:
Bank Official:
City:
State:
Zip:
Credit Terms: Net 30 days from invoice date. A 1.5% delinquency charge will be assessed on all outstanding balances not paid within terms. I hereby
accept the within stated credit terms and authorize SBM, Inc. to inquire on the above listed trade and bank references.
CREDIT AND RETURN POLICY:
No returns will be accepted after 30 days from date of invoice.
All cash and charged purchases returned for credit MUST be accompanied by original invoice.
20% restock fee on all "SPECIAL ORDERS" or "NON-STOCK" items returned for credit. Some "SPECIAL ORDERS" may not be able to be returned.
Prepaid outbound freight will also be deducted from the credit amount.
I have read and agree to the above Terms and approve this application:
Authorized Applicant Name: