Credit Application Page

Credit Application Form

Legal Business Name(Required)

Trade Name – DBA

Phone

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Shipping Address (if different)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Business is a:

Year Started

State of Inc.

Federal ID #

Website

Dun & Bradstreet #

Do you require a purchase order number?

Terms Requested

A/P Contact

First Last

A/P Email

A/P Phone

Estimated Monthly Purchases $

Credit Limit Requested $

Check one:

Name

First Last

Social Security #

Home Address

Street Address Address Line 2 City State ZIP Code

Phone

BANK REFERENCES

Type of Account

Contact Name

First Last

Phone

Savings Account #

Checking Account #

Loan Account #

TRADE REFERENCES

Trade Reference #1 Name

Contact Name

First Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

Account #

Trade Reference #2 Name

Contact Name

First Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

Account #

Trade Reference #3 Name

Contact Name

First Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

Account #

Payment is due 30 days after invoice date. A service charge of 1.5% per month will be applied to all past due invoices. In the event Hunt Lumber & Supply, Inc. refers a past due invoice or any portion thereof for collections, the Purchaser agrees to pay all fees associated with collection of amount due.

Signature(Required)

First Last

Date

Title

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Credit Application Form

BANK REFERENCES

TRADE REFERENCES

CONTACT

MENU

LEGAL

Follow Us

Sign Up and Receive
10% Off Your First Order.

Credit Application Form

BANK REFERENCES

TRADE REFERENCES

CONTACT

MENU

LEGAL

Follow Us

Sign Up and Receive 10% Off Your First Order.

Sign Up and Receive
10% Off Your First Order.