Commercial Credit Application : CFI Delivery . com : New Account

Commercial Credit Application

Name: *

Address: *

City, State Zip: *

Phone: *

Fax:

Email: *

Business Type *

If Corporation, what State

How long in business? *

Federal Tax ID:

Name / SSN of individual or Partners or Name / Title / SSN of Corp Officers:

E-Billing Email Address:

Name of Person to Contact Regarding Purchase Orders and Invoices, Title, Address, and Phone:

Bank Reference: Account Number, Contract Title and Phone Number:

Trade References: Company Name, Address, Contact and Title, Pbone Number:

The above information is submitted for the sole purpose of opening an account and I hereby certify the information to be true. Name, Title, Date:

Note: Our payment terms are Net 7 Days from bill date unless other arrangements have been made.