Print this page and fax the completed form to C & L Metal Sales at
503-288-5418
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Business Name_____________________________________________Tax
ID #___________________
Ship to Address_____________________________City______________State_________Zip________
Bill to Address______________________________City______________State_________Zip________
Previous Name: ____________________________________
Phone:___________________________
Address___________________________________City______________State_________Zip_________
Owner/Manager_______________________________________Phone:___________________________
How long in business________________________Type of Business_____________________________
___ Sole Proprietor ___ Corporation ___
Partnership ___ Proprietorship Principals/Officers
Name____________________________________Title:_________________Phone:_________________
Name____________________________________Title:_________________Phone:_________________
Name____________________________________Title:_________________Phone:_________________
Name____________________________________Title:_________________Phone:_________________ Trade References:
Name_____________________________________Phone:_________________Fax:_________________
Address_____________________________________City______________State_________Zip_________
Name_____________________________________Phone:_________________Fax:_________________
Address_____________________________________City______________State_________Zip_________
Name_____________________________________Phone:_________________Fax:_________________
Address_____________________________________City______________State_________Zip_________
Name_____________________________________Phone:_________________Fax:_________________
Address_____________________________________City______________State_________Zip_________ Bank References:
Name____________________________________________Type of Account:________________________
Address_____________________________________City______________State_________Zip__________
Phone:____________________Fax:___________________Account
Number:________________________
Name_____________________________________________Type of Account:_______________________
Address_____________________________________City______________State_________Zip__________
Phone:____________________Fax:___________________Account Number:________________________ Credit line requested
$____________________ PO Required__________
Request Invoices: Mailed: ___ Faxed: ___ Email: __________________
@ ___________________________
_______________________________ __________________________
____________ __________
Signature
Print
Name
Title
Date
_______________________________ __________________________ ____________
__________
Signature
Print Name
Title
Date
The information and statements in this
application are true and complete, and made for the purpose of establishing an
open line of credit. In consideration of, and in order to induce you to
establish an open account line of credit based of the foregoing application,
the understanding promises to pay for all purchases in accordance with your
terms of sale. If at any time, for any reason, the undersigned is unable to pay
for said purchases when due, the undersigned agrees to pay and authorizes you
to bill my/our account interest computed at the legal rate of 2% per month any
past due amount owning on my/our account. In the event it becomes necessary for
your company to incur collection costs or institute suit to collect any amount
due under this agreement or portion thereof, the undersigned promises to pay
such additional collection costs, charges and expenses including reasonable
attorney's fees if the account is placed in the hands of an attorney for
collection
