BUSINESS CREDIT APPLICATION

Applicant Company Information
Please complete the application below by filling in the fields. If you prefer to complete a paper (.pdf) application, e-mail accounting@peredelprecision.com to make your request.
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Address *
Address
Phone *
Phone
President/CEO *
President/CEO
A/P Contact: *
A/P Contact:
Principal Owner Name
Principal Owner Name
Required if not President/CEO
Address 1 *
Address 1
Enter SSN If Sole Proprietorship
Date of Incorporation
Date of Incorporation
BANK REFERENCES
Bank Address *
Bank Address
Bank Contact *
Bank Contact
CREDIT REFERENCES
R1 | Address *
R1 | Address
R1 | Contact *
R1 | Contact
R1 | Phone *
R1 | Phone
R2 | Address *
R2 | Address
R2 | Contact *
R2 | Contact
R2 | Phone
R2 | Phone
R3 | Address *
R3 | Address
R3 | Phone *
R3 | Phone
R3 | Contact *
R3 | Contact
ORDER INFORMATION
$
$
PAYMENT TERMS
CREDIT TERMS AND CONDITIONS
Applicant warrants that the above information is true and accurate. I/we hereby authorize PereDel Precision Machining, LLC to contact the references to investigate Applicant’s credit and financial responsibility. I certify that on behalf of Applicant, I am familiar with the terms shown on “Terms and Conditions of Sale” page in PereDel Precision Machining, LLC’ quote documents, and that failure to abide by the terms and conditions shown may result in interest and/or late fees being assessed to Applicant’s account. In the event of any amount owed by Applicant being past due more than 60 days or otherwise in default of payment, then Applicant grants PereDel Precision Machining,LLC. the right and privilege to collect from, receive payment by and apply such amount past due against the credit card above identified. Any such payments will be deemed made when such card issuing company has made final credit to such card and final collection by PereDel Precision Machining, LLC has occurred.
RELEASE OF INFORMATION
The officers/owner(s) of said company acknowledge that the person signing is so authorized to sign this application and that above information is warranted to be true and correct. To induce you to accept our credit for purchases under your credit sales terms, we authorize you to contact the references given above (including our bank to obtain sufficient and satisfactory credit information. In addition, as partial consideration for the approval of our credit, we agree to pay a service charge of 1.5% per month (or lesser amount which represents the legal maximum rate in our state) on all past due amounts (not in dispute) until our past due account is paid.
Authorized Name *
Authorized Name
Acknowledgement of Authorization by Digital Signature
Authorized Date *
Authorized Date