Credit Application

THIS CREDIT APPLICATION IS TO BE COMPLETED BY AN AUTHORIZED INDUVIDUAL OF THE CUSTOMER MAKING THE APPLICATION. WE SUGGEST YOU RETAIN A COPY OF THIS DOCUMENT FOR YOUR FILES. EMAILED COPIES OF THIS FORM ARE ACCEPTED IN ORDER TO BEGIN PROCESSING THE INFORMATION. PAYMENT TERMS: NET/30. ANY ACCOUNT NOT PAID WITHIN 15 DAYS OF THE INVOICE DATE WILL BE CHARGED 1 1/2% FINANCE CHARGE PER MONTH.

*Please fill out and submit the form below, or alternatively, you may download the credit application form and upload it for review.

Firm / Individual Name

Federal Tax Id

DNB/DUNS

Billing Information

Address

City

State

Zip / Postal Code

Phone Number

Fax Number

Shipping Information

Address

City

State

Zip / Postal Code

Phone Number

Fax Number

Organization Information

Organization Type

President

Purchasing Agent

Controller

Accounts Payable

Type of Business

Years in Business

Purchase Order Required?

Yes No

Are You Sales Tax Exempt? (If yes, please attach certificate or sales tax will be charged)

Yes No

Upload Document

Bank Name

City

State

Phone Number

Account Number

Contact

Reference 1

Reference 2

Reference 3

BY TYPING YOUR NAME BELOW, YOU AUTHORIZE THE TRADE REFERENCES LISTED ABOVE TO RELEASE CREDIT HISTORY TO BULLZEYE EQUIPMENT & SUPPLY, LLC. AND ITS ASSIGNS. YOU ALSO AGREE TO PAY ALL COLLECTION AND LEGAL FEES IF SUCH ACTION BECOMES NECESSARY. BULLZEYE EQUIPMENT & SUPPLY RETAINS OWNERSHIP OF ALL PRODUCTS UNTIL PAID IN FULL.

Full Name

Title

Date

OR

Download Credit Application Form

Download the form, fill it out completely, and upload it back using the section below.

+

Upload Completed Form

Upload your completed credit application form here.