Capitol Auto Parts Forms - page 12

Capitol Auto Parts
CREDIT APPLICATION FOR A BUSINESS ACCOUNT
BUSINESS CONTACT INFORMATION
Title:
Company name:
Phone:
Fax:
E-mail:
Registered company address:
City:
State:
ZIP Code:
Date business commenced:
Sole proprietorship:
Partnership:
Corporation:
Other:
BUSINESS AND CREDIT INFORMATION
Primary business address:
City:
State:
ZIP Code:
How long at current address?
Telephone:
Fax:
E-mail:
Bank name:
Bank address:
Phone:
City:
State:
ZIP Code:
Type of account:
Account number:
Savings
Checking
Other
BUSINESS/TRADE REFERENCES
Company name:
Address:
City:
State:
ZIP Code:
Phone:
Fax:
E-mail:
Type of account:
Company name:
Address:
City:
State:
ZIP Code:
Phone:
Fax:
E-mail:
Type of account:
Company name:
Address:
City:
State:
ZIP Code:
Phone:
Fax:
E-mail:
Type of account:
AGREEMENT
1.
All invoices will be billed monthly and are on a net 15 basis.
2.
Capitol Auto Parts must be notified prior to any return or price adjustment being given.
3.
By submitting this application, you authorize 1BCapitol Auto Parts to make inquiries into the banking and business/trade
references that you have supplied.
SIGNATURES
Title:
Date:
Title:
Date:
1...,2,3,4,5,6,7,8,9,10,11 13
Powered by FlippingBook