MACHINING SOLUTIONS CREDIT APPLICANT INFORMATION
Company
Name_____________________________________________________________________ Address___________________________________________________________________________ City, State,
Zip______________________________________________________________________ Telephone(s)_________________________________________
FAX__________________________ Email
Address______________________________________________________________________ Type of Business__________________ Years in
Business______ Anticipated $ Volume________/Month Type of Ownership: Sole Proprietor_______ Partnership_________
Corporation___________________ Contact
Person______________________________________________________________________ Accounts Payable Person to Contact for
Payment____________________________________________ Telephone Number(s)/Ext. for Accounts
Payable_____________________________________________ Email Address_______________________________
Website (if applicable)______________________
OWNERSHIP / PRINCIPAL INFORMATION
List Owners, Partners and Corporate Officers to be Responsible for Meeting Credit Terms
1.
Name______________________________________
Title____________________________ Social
Security #_______________________ Contact Phone #_________________________ 2.
Name______________________________________
Title____________________________ Social
Security #_______________________ Contact Phone #_________________________ 3.
Name______________________________________
Title____________________________ Social
Security #_______________________ Contact Phone #_________________________ (Use additional sheets if necessary)
Persons to have the authority to issue Purchase Orders under this
Account
_____________________________ ___________________________ __________________________
_____________________________ ___________________________ __________________________
I
certify the accuracy of the supplied information and agree to all Machining
Solutions “Terms & Conditions” of Credit attached herein.
Signed___________________________________________________
Date__________________________________
Print
Name_______________________________________________
Title___________________________________
All
information contained herein or gathered shall be held as confidential and used
only in the determination of the level of risk taken in our granting credit to
the requesting parties.
(Refer to the
Machining Solutions “Terms of Service” for Details.)
Machining Solutions
Phone:
(404)625-9556<>Fax:
(770)381-7767
REFERENCES
List at least three local business
and one banking reference that may be conveniently contacted.
Company
Name_____________________________ Contact__________________________ Address____________________________________________________________________ Phone
#________________________________ Fax #_______________________________ Company
Name_____________________________ Contact__________________________ Address____________________________________________________________________ Phone
#________________________________ Fax #_______________________________ Company
Name_____________________________ Contact__________________________ Address____________________________________________________________________ Phone
#________________________________ Fax #_______________________________ Company
Name_____________________________ Contact__________________________ Address____________________________________________________________________ Phone
#________________________________ Fax #_______________________________ Bank Name_________________________________
Contact__________________________ Branch_____________________________________________________________________ Address____________________________________________________________________ Phone #________________________________
Fax #_______________________________
All
information contained herein or gathered shall be held as confidential and used
only in the determination of the level of risk taken in our granting credit to
the requesting parties.
Machining Solutions
Phone:
(404)625-9556<>Fax:
(770)381-7767
MACHINING SOLUTIONS CREDIT TERMS AND
CONDITIONS
1. The Credit Application, along with References and these credit terms and conditions are submitted by Applicant to Machining Solutions, for the sole purpose of obtaining credit. Upon approval of Applicant’s credit, these documents set forth the entire agreement between Applicant and Machining Solutions regarding the matters described herein and therein, and supersede all prior oral or written agreements in respect thereof. Any amendments or changes affecting these documents must be in writing and signed by both parties.
2.
Invoice
terms are “Net due 30 Days”. Any invoice not paid within 60 Days is considered “Delinquent”.
3.
Accounts
become delinquent when any invoice is not paid within invoice terms. Once an
Account is termed “Delinquent” the total amount on all outstanding invoices
becomes immediately due and payable. There are no exceptions.
4.
A
preset Credit Limit will be established for each account. The credit limit is
based on the anticipated volume of work and the overall “credit worthiness” as
determined by Machining Solutions’
credit evaluation. Modifications of Credit Limit will be considered as time
progresses.
5.
Credit
privileges may be temporarily revoked or suspended on a past due account or an
account that exceeds its preset credit limit.
6.
Credit
will be terminated for accounts not active for over six (6) Months. Failure to
pay any invoice when due may result, at Machining
Solutions’ sole discretion, in the termination of said credit with any and
all monies outstanding, whether then due or not, becoming payable upon demand
by Machining Solutions.
7.
Any
checks, money orders, or other instruments tendered to Machining Solutions in satisfaction of any disputed debts, shall be
sent to:
Machining Solutions
8.
Applicant
agrees that all “Authorized Persons / Contact Persons” have been listed on the
Credit Application. Applicant assumes responsibility for informing Machining Solutions, promptly, in
writing, as to any additions to and /or deletions from the Authorized Persons /
Contact Persons list.
9.
Applicant
hereby consents to Machining Solutions’
use of a non-business consumer credit report on the Applicant, its Owners and Principals
in order to further evaluate the credit worthiness of the Applicant as
principal(s), proprietor(s), and/or guarantor(s) in connection with the extension
of business credit. Applicant hereby authorizes Machining Solutions to utilize a consumer credit report on the
Applicant; it’s Owners and Principals from time to time in connection with the
extension or continuation of the business credit represented by the credit
application. Applicant as (an) individual(s) hereby knowingly consent(s) to the
use of such credit report consistent with the Fair Credit Reporting Act as
contained in 15 U.S.C. Sec. 1681 et seq.
Applicant, its Owners and
Principals hereby certifies that the information given on the attached credit
application is true to the best of their knowledge. Applicant accepts the delinquency
remedies and the terms contained herein, and further agree to pay all cost of
collection, including but not limited to reasonable attorney fees, court costs,
and other associated
expenses. Applicant authorizes the release of all relevant credit information
to Machining Solutions, including,
but not limited to account information, financial
Disclosures,
credit reports, of other similar credit sources.
Authorized Person/Officer:
_________________________ Date: __________
Print Name:
_____________________________________
Witness:
_______________________________________
Date: __________
Print Name:
____________________________________
Machining Solutions
Phone:
(404)625-9556<>Fax:
(770)381-7767