Referral & Credit FOrm FOR ALL YOUR Commercial & Residential DRYWALL NEEDS Credit Application Form credit application All Applicants - Please Complete Business Name * Physical Address * Physical Address Physical Address Physical Address City City State/Province State/Province Zip/Postal Zip/Postal Mailing Address Different than Physical Address? * Yes No Mailing Address * Mailing Address Mailing Address Mailing Address City City State/Province State/Province Zip/Postal Zip/Postal Phone * Fax Email * Years at Current Address * Years in Business * Is Space * Rented Owned Taxable * Yes No Upload Tax Exempt Certificate Drop a file here or click to upload Choose File Maximum file size: 104.86MB City Sales Tax Number State Sales Tax Number List authorized purchasers * Purchase Order required? * Yes No *Estimated Monthly Purchases $ * Bank Name * Personal Banker Construction Loan Number Bank Address * Bank Address Bank Address Bank Address City City State/Province State/Province Zip/Postal Zip/Postal Name of Reference #1 * Email Phone Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Name of Reference #2 Email Phone Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Name of Reference #3 Email Phone Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Applying As: Sole Ownership or Partnership Corporation Sole Ownership or Partnership - Please Complete *Social Security Number and Driver's License Number/State will be required for approval. 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Yes No Officer 3 - Name & Title * Officer 3 Phone * Officer 3 Email * Officer 3 Address Officer 3 Address Officer 3 Address Officer 3 Address City City State/Province State/Province Zip/Postal Zip/Postal Terms and Conditions of Sales I hereby certify that all statements made on this application are true and correct and are made in consideration of the extension of credit by Colorado Drywall Supply, LLC. The undersigned agrees to be bound by the Terms and Conditions of sale, which are 1% discount if paid by the 10th of each month following the month of billing, or Net 30th. If payment is not made by the 30th of the month following the billing, the amount will be considered past due and the undersigned agrees to pay interest of 2% per month, or 24% per annum. If any amount hereunder or hereafter is not paid when due, then the undersigned agrees to pay all reasonable costs of collection, including, but not limited to, reasonable attorneys’ fees. Electronic Signature * signature keyboard Clear By signing this electronic document using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. Date * Personal Continuing Guarantee In consideration of extension of credit by Colorado Drywall Supply, LLC and other good and valuable consideration the receipt of which is hereby acknowledged, the undersigned agrees to be bound by the Terms and conditions of sales set forth herein and does unconditionally guarantee prompt payment when due. Your account with Colorado Drywall Supply, LLC, includes credit extended herein or hereafter, and further agrees that if this account is not paid when due, to pay all reasonable costs of collection, including, but not limited to reasonable attorneys’ fees. This guarantee shall cover the renewal of any claims guaranteed by this instrument or extensions of time of payment thereof, and shall not be affected by any claims guaranteed by this instrument or extensions of time of payment thereof, and shall not be affected by any surrender or release by Colorado Drywall Supply, LLC, of any other security held by it for claims hereby guaranteed. Electronic Signature * signature keyboard Clear By signing this electronic document using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. Date * reCAPTCHA Submit If you are human, leave this field blank.
