Credit Application and Agreement Form
[Insert Applicant’s full corporate name]
Applicant:
SHIPPING AND BILLING INFORMATION SHIP TO:
BILL TO: □ Check Here if Billing Address is Same as Delivery Address
Applicant Legal Name (INC, LLC, LP)
Trade Name/Doing Business As
Billing Address
Delivery Address (Attach Location Sheet If More Than One)
City
City
State/Province
County
Country
Phone Number
Zip/Postal Code
State/Province
Zip/Postal Code
Country
Accounts Payable Contact
Off Season Phone Number
E-mail Address
Phone Number
E-mail Address
Buyer Name
OWNERSHIP INFORMATION □ Corporation
□ Limited Liability Company (LLC)
□ Limited Partnership (LP)
□ Proprietorship
□ Non-Profit
□ Government
□ Other
Federal ID Number: Building/Facility:
□ Owned
□ Leased
Date Business Opened or Ownership Changed:
CREDIT REFERENCES Vendor Name (Present Supplier)
Account Number
City/State
Phone Number
Vendor Name
Account Number
City/State
Phone Number
Vendor Name
Account Number
City/State
Phone Number
ADDITIONAL INFORMATION PO required
□ YES □ NO
Member of Buying Group
□ YES □ NO
Name of Buying Group _______________________________ Member # ____________
BANK REFERENCES Bank
Contact name
Checking Account #
Loan Account #
Phone Number
CUSTOMER INDUSTRY Green Grass - Private □ Public
□
Team – Collegiate □ High School
Resort
□
□
Retail – Department Store □ Specialty
Ski - Private □ Public
□
Resort
□
Internet
□
Corporate – Direct □ Distribution
□ Tournament/Major Events □
□
Email completed application along with your resale certificate (if in US) to creditapplications@sunicesports.com