Tropical Construction Tools Supply of Naples

Please provide us some information about your company
Just complete the following form and submit it to us. If you prefer to complete an Application for Credit off line and fax or mail it to us, you can download a form for this by clicking here. Any information you include is held in the strictest confidence.

Company Information
Date:
Company Name:
Business Address
Street Address:
City:
State:
Zip Code:
Phone:
Fax:
Email:
Mailing Address(if different)
Street Address:
City:
State:
Zip Code:
Parent Company name (if applicable):
Taxes:
Type of business started:
Years at present location:
Year business started:
Tax Exempt Certificate number:
Federal ID number:
Type of Organization:
Credit limit requested:
Are Purchase Order # required:
Has the Company been involved in any bankruptcy or insolvency proceedings?:	Yes No
Officers
Names of Principal Owners
Name:
Position:
Address:
City:
State:
Zip Code:
Second Officer
Name:
Position:
Home Address:
City:
State:
Zip Code:


Your Company's Credit References (No Credit Card references)

Name:
Phone:
Fax:

Second Reference
Name:
Phone:
Fax:



In making this application for credit, the customer agrees to pay all invoices within 30 days from date of invoice and to pay a service charge of 1½ percent per month, which is an annual percentage rate of 18 percent on all overdue balances. In the event a suit is necessary to collect any amount, the customer agrees to pay the Seller's attorney's fees and costs including attorney's fees for appeal. By signing this agreement, authorization is hereby given to the vendors and banks listed herein to provide TCS of Naples with all information necessary to establish credit with them. I hereby authorize TCS of Naples to investigate the information presented. This account will be personally guaranteed by the persons listed below.
I agree:	Yes No
Name:
Title:
Date:


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