General Business Information
Business Name
Street Address
City
State
ZipCode
Mailing Address
Telephone
FAX
Credit Limit Requested
$ 1,000 $ 5,000 $ 10,000 $ 15,000 $ 20,000 $ 25,000 $ 30,000 $ 35,000 $ 40,000 $ 50,000 $ 75,000 $ 100,000 $ 125,000 $ 150,000 $ 175,000 $ 200,000 $ 250,000
Date Founded
Type of Business
Sole Proprietorship
AA AE AK AL AP AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Subsidiary of
Owners or Corporate Officers
Present Suppliers NOTE: Complete Street Address and Zip Code required to expedite this application quickly. Please include phone number.
Bank Information
Account Number
Name
Phone
Confirm and Submit Credit Application
PARTIES HEREBY AGREE THAT ALL PURCHASES MADE ARE SUBJECT TO THE FOLLOWING PARTIES HEREBY AGREE THAT ALL PURCHASES MADE ARE SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS
1. THE PURCHASER HEREBY AGREES THAT ALL AMOUNTS PURCHASED FROM BROWN PAPER CO ARE PAYABLE AT LOCATION SPECIFIED BY BROWN PAPER CO.
2. THE PURCHASER HEREBY AGREES TO PAY SERVICE CHARGES ON ACCOUNTS OVER 60 DAYS OLD. THESE SERVICE CHARGES WILL ACCRUE AT THE RATE OF 1½ % PER MONTH. (18 % PER ANNUM OR THE MAXIMUM ALLOWED BY LAW).
3. THE PURCHASER AGREES TO PAY, IN THE EVENT HIS ACCOUNT BECOMES DELINQUENT AND IS TURNED OVER TO ANY AGENCY OR ATTORNEY FOR COLLECTION. COLLECTION FEES AND/OR ATTORNEY FEES NOT EXCEEDING 30%. PLUS COURT COSTS, SERVING COSTS, AND/OR OTHER MISCELLANEOUS EXPENSES INCURRED AS A RESULT OF PURCHASER'S FAILURE TO PAY.
4. THE PARTIES HEREBY ACKNOWLEDGE THAT THE GOODS AND/OR SERVICES PURCHASED FROM BROWN PAPER CO. ARE NOT PAYABLE IN INSTALLMENTS, BUT ARE PAYABLE IN FULL AS STATED HEREIN.
All information given on this Credit Application is Complete and Accurate to the best of my knowledge.
(Name, Title, Phone, and E-mail address is required to confirm the information given.)
Title
E-Mail
