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Credit Application
*
Company's Name
*
Address
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City
*
State/Province
Anticipated
Annual Sales
*
Zip
*
Phone
*
E-mail
*
Fax
Type of
Ownership:
Corporation
Partnership
Sole Proprietor
Limited Company
Person to Contact for Information
Purchasing
Accounts Payable
No. of years in business:
Listed in D&B?
Yes
No Dun's No.
Your purchases are taxable?
Yes
No
Bank References
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Name
*
Phone/Fax
*
Address
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City
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State/Province
*
Zip
*
Person to Contact
*
Account Number
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Major Suppliers' References
(Please Furnish Complete Address)
1.
*
Name
*
Phone
*
Fax
*
Address
*
City
*
State/Province
*
Zip
*
Person to Contact
*
E-mail
*
Account Number
2.
*
Name
*
Phone
*
Fax
*
Address
*
City
*
State/Province
*
Zip
*
Person to Contact
*
E-mail
*
Account Number
3.
Name
Phone
Fax
Address
City
State/Province
Zip
Person to Contact
E-mail
Account Number
Comments:
Terms of Sale are Net 30 Days or as agreed upon with our Credit Department.
This is authorization for Cardinal/Detecto to obtain credit information from the above listed references. We understand your terms of sale and agree to abide by them.
*
Your name
Title
Date
Information obtained from the above references will be treated as confidential.
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Please enter the words in the image below:
(800) 641-2008
detecto@cardet.com
203 E. Daugherty Webb City, MO 64870
