Credit Account Application

Section 1 - Business Information

If you're requesting COD terms you do not need to complete Section 6.

A Personal Guaranty may be required to extend credit terms. If this should be requested, we will contact you.

Business Date
Legal Business Name *

Business is a *
Sole ProprietorshipPartnershipCorporation
Federal ID# *
State *
Years in Business *
Date of Inc.

Buyer Name

First Name
Last Name
Phone Number
Fax Number
Email

Accounting Contact Info

First Name
Last Name
Phone Number
Fax Number
Email

Billing/Shipping Information

Billing Address *

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

Shipping Address *

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

Section 4 - Online Account Information

Would you like access to our online accounting portal at www.edgebanding-services.com? *
YesNo
First Name
Last Name
Email
Email Order Acknowledgement YesNo

Section 5 - Tax Exemption

Tax will be charged unless certificate is included

Sales Tax Exempt? (if YES you must attach a State Tax Exempt Certificate & Sales Tax Exempt Form) *
YesNo
Upload File:

Resale Tax Number

Section 6 -Invoice /Statement Requirements

PO Number(s) on Invoice *
YesNo
Job Number(s) on Invoice *
YesNo
Invoice Delivery Preference *
EmailFaxMail
Invoice Email
Monthly Statement Required *
YesNo
Monthly Statement Delivery Preference
EmailFaxMail
Monthly Statement Email

Banking Information

Bank Name *

Address

Street Address
City
State
Zip
Name of Bank Officer Handling Account *
Type(Check all that apply) *
SavingsCheckingLoan
Phone Number *
Fax Number

Please furnish your latest financial statement with this application so that we may properly evaluate your account. All information furnished will be confidential.

Attach Statement below:

Trade References

Fill in or Upload Trade References Below:

Company
Name
Address
Title
Phone
Fax
Email

Company
Name
Address
Title
Phone
Fax
Email

I have trade references to upload * (if you filled in the above form then just check NO, or you can upload your Trade References instead here)

Upload Trade References?
YesNo

Choose File

Credit Requirements

I give permission to release information to Edgebanding Services Inc. and any other credit bureau or agency contracted by Edgebanding Services Inc. for the purpose of establishing a line of credit. Any information released to Edgebanding Services Inc. will be strictly confidential.

Please Type Your Name (Esignature) *
Credit Limit Desired (Standard terms are Net 10th following month) *
Estimated Monthly Purchase Volume *

In consideration of any extension of credit by Edgebanding Services INC., either now or in the future, to the above named credit applicant, on the above terms, or any other terms agreed to by said credit applicant and Edgebanding Services INC., the undersigned, unconditionally, personally, jointly and severity guarantee the payment of any and all sums due or which may become due as a result of any such extension of credit.

By checking the box below next to your name(s), the undersigned acknowledges that he/she/they has/have read and understood all of the above and agrees to be fully bound by its terms.

Acknowledgement Required

Name of Applicant One *
Title of Applicant One *
I Agree
Check Here If you Agree
Please Type Your name (Esignature) *
Other Notes/Comments