To apply please complete all fields and submit for processing.
Builder Credit Application
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Invoices are due net 30 days. Interest will accrue after 30 days at 1.5% on all balances.
CREDIT REFERENCES
Company Name
Mailing Address
Business Type
Individual
Partnership
Corporation
Physical Address
Tax Resale Certificate No.
Nature of Business
Length of Time in Business
Primary Bank Name
Bank Address
Bank Officer and Phone No.
Name
Address
Phone No.
Name
Address
Phone No.
I/We agree that all information given for the purpose of obtaining credit is true and accurate. I/We fully understand the credit terms and agree to the proper payment.
Agree
Disagree
I/We agree that by submitting this form, Wilson Appliance may make inquiries to verify credit status.
Agree
Disagree
