Credit Application

Date

Name

First Last

Business Name

ADDRESS

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Fax

Cell

Years in Business

I am applying for a...*

Individual account

Business account

Individual Account

Employer

Phone

Occupation

Years Employment

Business Account

Ownership

Corporation

Partnership

Proprietorship

Owner(s) Name(s)

Description of Business

Do you use PO Numbers or Job Names

PO Numbers

Job Names

If Contractor - Are Jobs Bonded?

Yes

No

Bond #

Bonding Agency

Bonding Agency Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contractor's License Number

NOTE: If your purchases are for resale, be sure to send the new Washington State Reseller Permit.

BUSINESS REFERENCES

(Give only names of those you buy from on an open account)

Reference 1

First Last

Reference 1 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference 1 Phone

Reference 2

First Last

Reference 2 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference 2 Phone

Reference 3

First Last

Reference 3 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference 3 Phone

Reference 4

First Last

Reference 4 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference 4 Phone

Reference 5

First Last

Reference 5 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference 5 Phone

Authorized Persons

Names of persons authorized to charge on this account

Are these persons authorized to charge tools?

Yes

No

Resaon for wanting to open an account with us

We we recommended to you by a customer or relative?

Yes

No

If so, by whom?

Your estimate of the dollar amount you expect to purchase from us per month

Are you a reseller?*

Yes

No

Reseller Permit

If you will be reselling these products, please upload your reseller permit.

Max. file size: 1,000 MB.

Corporate Guarantee

The undersigned being an Officer/Director/Shareholder of the Applicant Corporation do hereby agree to the following terms and conditions and assume personal responsibility for payment of said corporation's account, and guarantee in full that the said account will promptly be paid. It is understood that credit would not be extended to said corporation without this assumption of liability and guarantee.

Notice: The following is provided for your information. Please read the credit plan and do not submit this application before you do so.

1. To pay each invoice by the tenth of the following month.

2. To pay a 1.5% service charge on any invoices past due.

3. To pay attorney's fees in the event that collection efforts become necessary.

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Name

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Individual Account

Business Account

BUSINESS REFERENCES

Authorized Persons

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