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Credit Application

CREDIT APPLICATION

Please fill out credit application and hit submit. Your confirmation page will reflect the information you provide in this form. Please print and sign the page and fax it back to us at 423.870.7800. We will have already begun to process your request although we cannot complete the transaction without your signature.

Fields marked with an asterisk (*) are required.
Business Name:
Business Address:
Business Address:
City:
State:
Zip:
Phone Number:
Fax Number:
Date Established:
At Present Location Since:
Federal Tax ID #:
BANK / LENDING INSTITUTION REFERENCE
Name:
Account Number:
Address:
Address:
City:
State:
Zip:
Phone:
Fax:
CREDIT REFERENCES
Company Name:
Address:
Address:
City:
State:
Zip:
Phone Number:
Fax Number:
Company Name:
Address:
Address:
City:
State:
Zip:
Phone Number:
Fax Number:
Company Name:
Address:
Address:
City:
State:
Zip:
Phone Number:
Fax Number:
BUSINESS INFORMATION
Account Payable Contact:
Receiving/Shipping Contact:
AUTHORIZATION CONTACT INFORMATION
Your Name (First, Middle, Last):
Your Title:
* Your E-mail:

The above information is submitted for the purposes of obtaining credit. The undersigned authorizes you to make such inquiries as are necessary to obtain credit information and authorize my bank, suppliers, and credit references to release information regarding my account(s).

I / We certify that everything stated on this application is true and correct to the best of my / our knowledge.

Interest shall accrue at the maximum lawful rate for all unpaid invoices from the due dates thereof. Applicant agrees to pay, in addition to such interest amounts, all collection fees, attorney fees, and court costs incurred by Southern Tool Steel, Inc. Applicant agrees that venue and jurisdiction for any such action shall be in Hamilton County, TN, the principal place of business of Southern Tool Steel, Inc. In no way shall the party signing above on behalf of the Applicant be personally guaranteeing any amounts owed by Applicant.

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