NEW ACCOUNT APPLICATION
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DATE ,
SALES REP NUMBER
PAYMENT IS DUE 30 DAYS FROM INVOICE DATE, AFTER 30 DAYS AN ACCOUNT IS CONSIDERED PAST DUE. OUR CREDIT POLICY WILL NOT ALLOW US TO CREATE ADDITIONAL CHARGES ON PAST DUE ACCOUNTS.
FIRM NAME
PHONE #
FAX #
DBA (IF DIFFERENT FROM ABOVE)
ADDRESS 1
ADDRESS 2
CITY
STATE
ZIP
TYPE OF BUSINESS
HOW LONG IN BUSINESS
PRINCIPAL OWNER OR OFFICER
OWNERSHIP
CORPORATION LLC
PARTNERSHIP SOLE OWNER
GOVERNMENT
ARE YOU TAX EXEMPT
YES NO
EXEMPT NUMBER
ANTICIPATED MONTHLY CHARGES (IMPORTANT IN DETERMINING CREDIT)
DO YOU REQUIRE A PURCHASE ORDER NUMBER
YES NO
DO YOU PAY FROM
INVOICE STATEMENT
DO YOU PAY YOU BILLS
DAILY WEEKLY MONTHLY
LIST PAYABLE CYCLE
DO YOU HAVE SPECIAL BILLING INSTRUCTIONS
DO YOU PAY BY CREDIT CARD
YES NO
CREDIT CARD NUMBER
EXP. DATE
SHIPPING ADDRESS 1
SHIPPING ADDRESS 2
SHIPPING CITY
SHIPPING STATE
SHIPPING ZIP
PURCHASING PERSON
PURCHASING TELEPHONE
PURCHASING FAX
PURCHASING EMAIL
ACCOUNTS PAYABLE PERSON
ACCOUNTS PAYABLE TELEPHONE
ACCOUNTS PAYABLE FAX
ACCOUNTS PAYABLE EMAIL
TRADE REFERENCES 1
TRADE REFERENCES 1 CONTACT
TRADE REFERENCES 1 ADDRESS
TRADE REFERENCES 1 PHONE #
TRADE REFERENCES 1 FAX #
TRADE REFERENCES 1 EMAIL
TRADE REFERENCES 2
TRADE REFERENCES 2 CONTACT
TRADE REFERENCES 2 ADDRESS
TRADE REFERENCES 2 PHONE #
TRADE REFERENCES 2 FAX #
TRADE REFERENCES 2 EMAIL
TRADE REFERENCES 3
TRADE REFERENCES 3 CONTACT
TRADE REFERENCES 3 ADDRESS
TRADE REFERENCES 3 PHONE #
TRADE REFERENCES 3 FAX #
TRADE REFERENCES 3 EMAIL
BANK NAME
ACCOUNT NUMBER
BANK CONTACT
BANK TELEPHONE NUMBER
INDIVIDUALS AUTHORIZED TO PURCHASE
AUTHORIZED PHONE #

I HAVE AUTHORIZED THE EMPLOYEES LISTED ABOVE TO CHARGE PURCHASES AT THE FITCH CO. AND WILL NOTIFY FITCH CO. IN WRITING OF ANY CHANGES. I AGREE TO THE CREDIT TERMS STATED ABOVE.

PERSONAL GUARANTEE

IN CONSIDERATION OF THE EXTENSION OF CREDIT BY FITCH CO. THE ABOVE NAMED CUSTOMER, THE UNDERSIGNED DO JOINTLY AND SEVERALLY GUARANTEE TO PAY AND BE RESPONSIBLE FOR PAYMENT OF ALL SUMS, BALANCES AND ACCOUNTS DUE FITCH CO. BY CUSTOMER INCLUDING COLLECTION CHARGES AND/OR ATTORNEY'S FEES. THIS SHALL BE AN OPEN AND CONTINUEING GUARANTEE AND SHALL CONTINUE IN FORCE, NOTWITHSTANDING ANY CHANGE IN THE FORM OF SUH INDEBTNESS, OR RENEWALS OR EXTENSION GRANTED BY FITCH CO. WITH OBTAINING ANY CONSENT THERETO, AND UNTIL EXPRESSLY REVOKED BY WRITTEN NOTICE FROM THE UNDERSIGNED TO FITCH CO. ANY SUCH REVOCATION SHALL NO IN ANY MANNER AFFECT THE UNDERSIGNED'S LIABILITY AS TO ANY INDEBTEDNESS EXISTING PRIOR THERETO. THE UNDERSIGNED THEREBY WAIVES NOTICE OF ACCEPTANCE OF THIS AGREEMENT, NOTICE OF DEFAULT OR NONPAYMENT AND WAIVE ACTION REQUIRED BY ANY STATUTE, AGAINST THE CUSTOMER. NO DELAY ON FITCH CO.'S PART IN EXCERCISING THE RIGHT HEREUNDER, OR TAKING ANY ACTION TO COLLECT OR ENFORCE PAYMENT OF ANY OBLIGATION HEREBY GUARANTEED. AS AGAINST EITHER THE CUSTOMER, SHALL OPERATE AS A WAIVER OF ANY SUCH RIGHT OR IN ANY MANNER PREJUDICE FITCH CO.'S RIGHTS AGAINST THE UNDERSIGNED. THE UNDERSIGNED AGREE THAT IN THE EVENT OF ANY DEFAULT AT ANY TIME BY CUSTOMER, FITCH CO. SHALL BE ENTITLED TO LOOK TO THE UNDERSIGNED IMMEDIATELY FOR FULL PAYMENT WITH PRIOR DEMAND OR NOTICE.

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