Business Credit

Application for Business Credit

All information will be kept confidential

Business Information



Organization/Business

Names(s) of Authorized Purchasers:

Purchaser #1
Purchaser #2

Trade References

References

(give only names of those you buy from on an open account)
Reference #1
Reference #2
Reference #3

*Please download and submit a completed copy of the resale certificate linked below*

State Requirement

Wisconsin Sales and Use
Tax Exemption Certificate

I understand that I must provide all the information requested in this application and I certify that such information is accurate. I authorize you to verify the information on the application and exchange information on me and the company, including requesting reports from credit reporting agencies. Buyer agrees to pay the legal rate of interest on balances 30 days past due. Applicant agrees to pay all costs and expenses incurred in collecting any and all unpaid indebtedness. Said costs and expenses shall include reasonable attorney's fees incurred at any time in the collection process. Auto Paint & Supply reserves the right to cancel this account for any reason.

By typing my name below, it is my intent that it serve as my electronic signature. I further understand and agree that my electronic signature shall have the same force and legal effect as my written signature and that it is my intent to file a credit application electronically with Auto Paint & Supply Co., Inc.

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