Credit Application for Business Account Form

Is your company offering a credit application for a business account? Here's an account application form template to help you get started. This business credit application template works by collecting the following details from your applicants - Their contact details, business details, credit info, and business references. The form also sports some terms and agreements that you can modify, along with a signature field.

Categories:
Banking Forms
Tags: credit application for a business account,account application form template,business credit application template
Shared by: Michelle_J

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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

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

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.
Enter the word as it's shown *
Signature

Clear
Should be Empty:

Credit Application for Business Account Form

Business Contact Info

Business and Credit Info

Business References

Agreement