Credit Application Form Please fill out the credit application form below. This application MUST be completed in full. Credit Application Form Company Information Company Name: * Date * Address * City * State * Zip code: * Phone #: * Fax #: Years Established: * Incorporated?: * If Yes, under laws of which state?: President’s Name: * Address: * City: * State: * Zip code: * Secretary/Treasurer Name: * Address: * City: * State: * Zip code: * Bank Reference Name/Branch: * Checking Acct. #: * Address: * State: * City: * Zip code: * Phone #: * Fax#: * Bank Manager/Officer: * TRADE REFERENCES – Please list 3 current sources of credit: Reference #1: * Contact: * Address: * City: * State: * Zip code: * Phone #: * Fax #: * Reference #2: * Contact: * Address * City: * TextState: * Zip code: * Phone #: * Fax #: * Reference #3: * Contract: * Address: * City: * State: * Zip code: * Phone #: * Fax #: * Does Your Company Require Purchase Order Numbers for Payment? * Yes No *Our Term are Net 30 Days. Valid Certificate of Insurance ALWAYS REQUIRED listing Set Stuff, Inc. as Additional Insured/Loss Payee of Miscellaneous Equipment. Print Name * Signature * signature keyboard Clear IF ALL THE INFORMATION ABOVE IS CORRECT AND YOU AGREE, PLEASE CLICK THE SUBMIT BUTTON BELOW. **CREDIT APPLICATION TAKE 10 DAYS TO PROCESS** If you are human, leave this field blank. Submit Start Over
