Credit Application

BUSINESS INFORMATION Email this form to bestaccounting@solder.net
Company Name		Tax I.D. Number
If Division/Subsidiary, Name of Parent Company		Corporation Partnership Proprietorship
Address		In Business Since
City, State, ZIP Code		Website
Phone		Fax
BUSINESS CONTACT AND BANK INFORMATION
Accounts Payable Contact		Bank Name
Accounts Payable Address		Bank Address
Accounts Payable City, State, ZIP Code		Bank City, State ZIP Code
Accounts Payable Email		Bank Account Number
Accounts Payable Phone		Bank Contact
Accounts Payable Fax		Bank Phone
BUSINESS TRADE REFERENCES
REFERENCES 01
Company Name		Website
Address		Phone
City, State ZIP Code		Fax
Contact Name		Email
REFERENCES 02
Company Name		Website
Address		Phone
City, State ZIP Code		Fax
Contact Name		Email
REFERENCES 03
Company Name		Website
Address		Phone
City, State ZIP Code		Fax
Contact Name		Email
SUBMITTED BY
Name and Title		E-mail
Phone		Date
AGREEMENT
By submitting this application, you authorize Bandjwet Enterprises Inc dba BEST INC to make inquiries into the banking and business trade references that you have supplied.

BUSINESS INFORMATION