credapp – Agcor Steel

Credit Application for a Business Account

Business Contact Information

Title

Company Name

Phone

Date Business Commenced

Type of Business

If other type of business selected please specify:

Registered Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Business and Credit Information

Primary Business Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

How long at current address?

Phone

Bank Name:

Bank Phone:

Account Number:

Type of Account:

Business/Trade References

Company Name:

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Type of Account:

Phone

Company Name:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Type of Account:

Phone

Company Name:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Type of Account:

Phone

Please Upload a copy of your W-9

Choose File

Agreement

All invoices are to be paid on the day the product is picked up or delivered unless you approved for terms.
Claims arising from invoices must be made within seven working days.
By submitting this application, you authorize Agcor Steel to make inquiries into the banking and business/trade references that you have supplied.

Signatures

First Name

Last Name

Title

Date