Credit Application Form


Company
Street Address
City
State
Zip
Type of Business
Telephone
eMail Address
Contact
Title
Fax
Note: All idebtedness after due date shall bear interest at the rate of 1.5% per month or the highest rate permitted by the applicable state law, whichever is less. If seller shall be required to institute legal proceedings for the collection of any past indebtedness, buyer shall reimburse seller for its reasonable costs and expenses, including attorney fees .
Bank Information:
Name
Address
Contact
Telephone
Fax
Account #
I hearby authorize our bank to provide appropriate credit rating information to Numaco Packaging for the sole purpose of establishing a credit line.
Signature