The credit application may be filled in and submitted on-line. Although we will begin processing your application from the on-line submission, final credit approval will not be given until a signed copy of the credit application has been received by our credit department. The credit application form below may be printed from your browser. Sign the printed copy and remit to the credit department for final approval.
Fax: 253-322-9076
Thank You.
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| Credit Line Requested $ | ||
| Estimated Monthly Purchases $ |
Check One:
Proprietorship
Corporation
General Contractor
Partnership
LLC
Check One:
New
Account
Revision
Parent Company Name
Street Address
City
State
Business Name
Business Location Street
Address
City
State
County
Zip
Phone
Fax
Email Address
Duns ID Number
Federal ID Number
Nature of Business
If Corporation, When and
Where Incorporated
If Partnership, Date of
Agreement
If Sole Ownership, Date
of Ownership
PRINCIPAL OFFICERS OR ALL
PARTNERS
Chief Executive
Financial Executive
Billing Address
City
State
Zip
Phone
Fax
Email Address
BANKING
Bank
Business Checking Account
No.
Branch
Phone
Bank
Business Checking Account
No.
Branch
Phone
Bank
Business Checking
Account No.
Branch
Phone
TRADE REFERENCES
Name
Phone
Address
Credit Line
Account No.
Name
Phone
Address
Credit Line
Account No.
Name
Name
Phone
Address
Credit Line
Account No.
Name
Phone
Address
Credit Line
Account No.
The undersigned hereby certifies that all information is true and correct. It is agreed that this information is provided in order to secure credit for business purposes and the creditor is authorized to conduct any additional investigation deemed necessary to extend credit. It is understood that any extension of credit may be withdrawn at any time without notice. It is understood Universalproducts.biz's eBusiness contract partner, hereby offers to establish an ecommerce business relationship provided your company recognizes and agrees that Universalproducts.biz's eBusiness partner's concepts, programming, tools, and the application of such are made available only for material purchasing purposes and are the exclusive property of universalproducts.biz's eBusiness contract partner. Your company agrees to all of the above stipulations and agrees not to copy, duplicate by facsimile the site, or its structure, or open the site to unauthorized users. Use of the site constitutes the acceptance and your agreement to the site's terms.
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| Signature | ||
| Title |
