Davidson Insulation

 

Sarasota Co. Phone
Sarasota Co, Fax

 

(941) 429-3600
(941) 429-3660

 
    APPLICATION FOR CREDIT
 
NAME OF BUSINESS  
ADDRESS  
BILLING ADDRESS  
CTY, STATE, ZIP  
PHONE  
CONTACT  
TYPE OF FIRM
C- CORPORATION  
S- CORPORATION  
SP- SOLE PROPRIETOR  
JV- CORPORATION  
0- OTHER  
 
SOCIAL SEC. # OR FED. ID #  
DUN & BRADSTREET #  
NAMES OF OFFICERS, PARTNERS, ETC. :
   
   
   
YEARS IN BUSINESS ________________________________________________________________________________
GEOGRAPHIC AREA OF WORK______________________________________________________________________
HAS FIRM EVER FAILED TO PAY A LEGAL OBLIGATION ?_____________________________________________
HAS FIRM EVER BEEN IN BANKRUPTCY ?____________________________________________________________
HAVE YOU APPLIED FOR AN ACCOUNT HERE BEFORE ? ________ IF YES, WHEN ? _______________________
CREDIT LIMIT REQUESTED:____________________ PURCHASE ORDER REQUIRED ? ______________________
  * TERMS: NET 30 DAYS
  * NOTICE TO OWNER WILL BE SENT IF NOT PAID WITHIN TERMS !
BANK REFERENCE:
  NAME  
  ADDRESS  
  PHONE #  
  CONTACT ( e.g. loan officer) ____________________________
MAJOR BUSINESS / TRADE REFERENCES:

#1.

NAME  
  ADDRESS  
  PHONE #  
  CONTACT  

#2.

NAME  
  ADDRESS  
  PHONE #  
  CONTACT  

#3.

NAME  
  ADDRESS  
  PHONE #  
  CONTACT  

#4.

NAME  
  ADDRESS  
  PHONE #  
  CONTACT  

#5.

NAME  
  ADDRESS  
  PHONE #  
  CONTACT  
 
**By signing this application and in consideration of Davidson Insulation & Acoustics, Inc., granting credit, the undersigned personally guarantees the payment of any such sums or debts which may become due and payable to Davidson Insulation & Acoustics, Inc., and the undersigned further binds the coporation, partnership or business entity to the payment of any such sums or debts which may become due and payable to Davidson Insulation & Acoustics, Inc. which the undersigned represents. Upon approval the applicant understands that all purchases are due Net 30 days. In the event collection proceedings ar required to collect on a delinquent account, Davidson Insulation & Acoustics, Inc., shall be entitled to receive all costs of collection, including, but not limited to, reasonable attorney's fees, court costs and interest. I (we) hereby grant Davidson Insulation & Acoustics, Inc. permission to contact my (our) creditors for the purpose of establishing credit terms.
 
DATE:    
SIGNATURE OF APPLICANT:  
TITLE:      
 
OFFICE USE ONLY
TITLE: _______________________________________________  
SALESPERSON ________________________________________  
DATE SUBMITTED: ___________________________________  
APPROVED BY: _______________________________________  
DATE: _______________________________________________  
CREDIT LIMIT: _______________________________________