Credit Application

Al's Electric Motror's:
CREDIT APPLICATION FOR A BUSINESS ACCOUNT

Business Contact Information
Title: 
Company Name:  
Phone:   Fax:  Email:  
Registered Company Address: 
City:    State:     Zip Code: 
Date Business Commenced: 
Sole Proprietorship:  Partnership:  Corporation:  Other:  

Business and Credit Information
Bank Name: 
Bank Address:    
City:  State:  Zip Code: 
Phone:  Fax:   Email: 
Type of Account:  Checking:  Savings:  Other:  
Account Number: 

Business and Trade References
(1)
Company Name: 
Address:   
City:  State:  Zip Code: 
Phone:   Fax:  Email: 
Type of Account:   Terms: 
(2)
Company Name:  
Address:    
City:  State:  Zip Code:  
Phone:  Fax:  Email: 
Type of Account:  Terms:  
(3)
Company Name:  
Address: 
City:   State:    Zip Code:  
Phone:    Fax:  Email: 
Type of Account:  Terms:  

Agreement
1. All invoices are to be paid 30 days from the date of the invoice.
2. Claims arising from invoices must be made within 4 business days.
3. By submitting this application, you authorize EMS, Inc. to make inquiries into the banking and business/trade rederences that you have supplied.

Signature: 
Title:  
Date:   

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