APPLICATION FOR CREDIT

Print This Form, Then Fax Completed Form to 440.439.1077

 

 

                                                                                                                                                                                                                            

 NAME OF COMPANY OR INDIVIDUAL                                        ____________          _______                      __PHONE___________________

                                                                                                                                                                                         

ADDRESS__________________________________________                                                                                  FAX______________________                                                                                                                                             

CITY____________________      STATE_________________     ZIP ___________ FED.ID#____________         MOBILE__________________                         

                                                                                                                                                                                        PAGER  

HEREBY APPLIES FOR CREDIT IN ACCORDANCE WITH THE TERMS & CONDITIONS OF:                      TERMS: NET 30 DAYS

                                              

MASON STRUCTURAL STEEL, INC.

7500 NORTHFIELD ROAD

WALTON HILLS, OHIO 44146

440-439-1040        FAX 440-439-1077

 

 

THE FOLLOWING INFORMATION MUST BE PROVIDED, IT WILL BE HELD IN STRICT CONFIDENCE.

 

OWNERSHIP: ”    CORPORATION               •    PARTNERSHIP                           ˜    INDIVIDUAL                  OTHER

NAME OF PRINCIPAL                       SOC.SEC.#                        ADDRESS                                                                                  PHONE______________________ 

                                                                                            

1. ____________________________________________________________________________________________________________________

                                 

2. ___________________________________________________________________________________________________________________

                                  

3.____________________________________________________________________________________________________________________

 

FINANCE:  __________________________________________________________________________________________________________

                      BANK                                                         ADDRESS

 

_____________________________________________________________________________________________________________________

BANK OFFICER OR DEPARTMENT                                        PHONE

 

 

REFERENCES:

 BUSINESS NAME                                                  ADDRESS                                                         PHONE

 

1. ___________________________________________________________________________________________________________________

 

2. ___________________________________________________________________________________________________________________

 

3. ___________________________________________________________________________________________________________________

 

4. ___________________________________________________________________________________________________________________

 

 

          ˜  CHECK HERE IF CASH SALES ARE OKAY UNTIL CREDIT IS APPROVED.

 

WE CERTIFY THAT ALL THE INFORMATION ON THIS FORM  IS CORRECT.  WE FULLY UNDERSTAND YOUR CREDIT TERMS AND AGREE TO THE PROPER PAYMENT IN CONSIDERATION OF EXTENDED CREDIT.

 

______________________________________OF_____________________________________________________________________________

                  NAME OF SIGNER                                                                      COMPANY NAME

 

GUARANTEES PROMPT PAYMENT ON THE ABOVE ACCOUNT.

 

____________________________________________________________________     ____________DATE______________________________

SIGNATURE

 

                                                                                                                              

                                                                                                                                            APPROVED BY:__________________________