Credit Application
Company Information

Company Name____________________________Phone ______________Fax____________________

Address__________________________________City/State/Zip________________________________

Your Name________________________________Email Address_______________________________

Date Business Started_______________Name of Owner/Partner/President_______________________

Trade References

Company Name__________________________________Contact_______________________________

Address____________________________________________________Phone_____________________

Company Name__________________________________Contact_______________________________

Address____________________________________________________Phone_____________________

Bank Information

Your Bank Name______________________Contact_______________Bank Phone Number___________

Credit Card Information

Name of Card Holder__________________________Account Number_____________________________

Type or Card  Visa ___   or Master Card____ Expiration Date ____________Month____________ Year
Terms for Credit Purchases: Credit Purchases are Net 30 days via company check from the emailed Invoice date. If payment is not received by 45 days after the emailed invoice date then the credit applicant hereby authorizes Toolholders Inc to automatically (without notice) process the payment on the above listed credit card. 
    Signature below is an acknowledgement and agreement to this credit application and the applicant hereby authorizes Toolholders Inc to use the below signature as an authorized signature to automatically (without notice) process credit card charges for late credit payments.

      Signature _____________________________Date______________

 

Please COMPLETE and Return By FAX to 513-771-2552 or mail to us at the above address.