Credit Application for Business Account Form

Credit Application for Business Account Form

Form is useful for banking entities. Customers can apply online for opening business accounts.

Categories:
Application Forms
Business Forms
Banking Forms
Tags: credit application,banking,business account,bank
Shared by: PhantasmX7

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Business Contact Info

Credit Application for Business Account
Company Name *
Phone Number *

- Area Code Phone Number
Fax Number *

- Area Code Phone Number
E-mail *

Company Shipping Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Federal ID Number *
Company Type *

Sole Proprietorship Partnership Corporation Other

Business and Credit Info
Accounts Payable Contact *

First Name Last Name
Accounts Payable Phone *

- Area Code Phone Number
Accounts Payable Fax

- Area Code Phone Number
E-mail *

Company to Bill Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Bank Name *

Bank Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Bank Phone Number *

- Area Code Phone Number
Savings Account #
Checking Account #
Other Account #

Business References
Reference 1: Company Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number
Fax Number

- Area Code Phone Number
E-mail
Type of Account
Reference 2: Company Name

Address 2

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number 2

- Area Code Phone Number
Fax Number 2

- Area Code Phone Number
Type of Account 2
Reference 3: Company Name

Address 3

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number 3

- Area Code Phone Number
Fax Number 3

- Area Code Phone Number
Type of Account 3

Agreement

(By checking these boxes you are agreeing to our terms - should you have any questions please contact us)
Agreement and Terms *

Excluding the opening buy special. All invoices are to be paid 30 days from the date of the invoice.
Agreement and Terms *

Claims arising from invoices must be made within 7 business days of the invoice date.
Agreement and Terms *

By submitting this credit application, you authorize us to make inquires into the banking and buisness references that you provided.
Digital Signature Name *

First Name Last Name
Digital Signature Date *

- Month - Day Year
Digital Signature Name 2 *

First Name Last Name
Digital Signature Date 2 *

- Month - Day Year
Enter the word as it's shown *
Should be Empty: