NEW ACCOUNT CREDIT APPLICATION
FIRM NAME:
PHONE :
FAX#: ____________________
ADDRESS :
CITY:
STATE :
ZIP:
AP CONTACT:
COUNTRY :
PHONE #:
BILLING ADDRESS :
CITY:
STATE :
ZIP:
INVOICE EMAIL ADDRESS:
COUNTRY :
CORRESPONDENCE EMAIL:
SHIP TO NAME:
ADDRESS :
CITY:
STATE :
PURCHASING CONTACT:
EMAIL: ______________________
ZIP:
COUNTRY :
PHONE #:
FAX#: ____________________
ESTIMATED AMOUNT OF MONTHLY PURCHASES $
OWNERSHIP
CORPORATION
PARTNERSHIP
PROPRIETORSHIP_________ # OF EMPLOYESS_________ YEARS IN BUSINESS _____________
PRINCIPAL OFFICERS
_________
BANKING REFERENCE:
BANK NAME:
ADDRESS :
CITY:
BANK CONTACT:
STATE :
EMAIL: ______________
_____
ZIP:
COUNTRY :
PHONE #:
FAX#: ____________________
TRADE REFERENCE: (GIVE ONLY ACCOUNTS YOU BUY FROM AN OPEN ACCOUNT)
1.
NAME:
ADDRESS:
PHONE #
CITY
STATE
E-MAIL:
2.
CITY
STATE
ZIP
COUNTRY:
.
ZIP
COUNTRY:
.
FAX #:
NAME:
ADDRESS:
.
PHONE #
E-MAIL:
3.
COUNTRY:
FAX #:
NAME:
ADDRESS:
ZIP
PHONE #
CITY
STATE
E-MAIL:
FAX #:
I (We), the undersigned, certify the above information to be true and correct. I (We) hereby authorize Safran Cabin Inc to investigate the references and banking
information listed above for the purpose of obtaining credit from your company.
I (We) acknowledge that our purchases from you will be subject to the terms and conditions set forth in Safran Cabin Inc quotations which will require my (our) signed
acceptance prior to the commencement of work by Safran Cabin Inc.
I (We) accept that Safran Cabin Inc remains the owner of all materials produced and delivered until payment has been made in full.
THIS APPLICATION MUST BE SIGNED BY AN OWNER OR OFFICER OF THE CORPORATION
SIGNATURE:
NAME
TITLE
DATE
SIGNATURE:
NAME
TITLE
DATE
APPROVAL
CREDIT MANAGER/DIRECTOR OF FINANCE
RESTRICTED PARTY SCREENING (RPS) APPROVED
DATE