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Confidential Commercial Credit Application
Please fill in the form below and submit.
All Sections must be completed in full.
COMPANY INFORMATION
Company Name:
Parent Company/DBA:
Billing Address:
Contact:
City:
State:
Zip:
Previous Address:
Years in Business:
Phone:
Fax:
Bank:
Account #:
Phone:
COMPANY INFORMATION
(Must be completed for all partnerships and sole proprietorships and corporations)
Corporation
Partnership
Sole Proprietorship
Owners Full Name:
SS#:
Owners Address:
City:
State:
Zip:
Partners Full Name
(If Partnership)
:
SS#:
Partners Address:
City:
State:
Zip:
TRADE REFERENCES
1.
(Name & Address)
(Phone)
(Fax)
2.
(Name & Address)
(Phone)
(Fax)
3.
(Name & Address)
(Phone)
(Fax)
I acknowledge the terms offerd by Globe Petroleum. I agree to pay interest at a rate of 1.5 percent per month for all invoices past due. An additional 20 percent will be charged for attorney's fees, in the event that a claim for non-payment of any balance due that is referred to attorney for collection. In consideration of the receipt of services by said firm, we the undersigned do hereby jointly and severally guarantee the payment by said firm. The below signatures also grant Globe Petroleum the right to check any factors pertinent to a fair evaluation of establishing credit.
(Authorized Signature)
(Title)
(Date)
(Authorized Signature)
(Title)
(Date)
Copyright © 2002 Globe Petroleum
1-800-432-8546
