B & N CONTRACTORS, INC. Credit Application for a Business Account
Business Contact Information
Name/Title:
Company name:
Phone:	Fax:	E-mail:
Registered company address:
City:	State:	ZIP Code:
Date business commenced:
Sole proprietorship:	Partnership:	Corporation:	Other:
Business and Credit Information
Primary business address:
City:	State:	ZIP Code:
How long at current address?
Telephone:	Fax:	E-mail:
Bank name:
Bank address:	Phone:
City:	State:	ZIP Code:
Type of account:	Account number:
Savings
Checking
Other
Business/trade references
Company name:
Address:
City:	State:	ZIP Code:
Phone:	Fax:	E-mail:
Type of account:
Company name:
Address:
City:	State:	ZIP Code:
Phone:	Fax:	E-mail:
Type of account:
Company name:
Address:
City:	State:	ZIP Code:
Phone:	Fax:	E-mail:
Type of account:
Agreement
All invoices are to be paid 30 days from the date of the invoice. Claims arising from invoices must be made within seven working days. By submitting this application, you authorize B & N CONTRACTORS, INC. to make inquiries into the banking and business/trade references that you have supplied.
Signatures
Title: Date:	Title: Date: