APPLICATION FOR CREDIT
CONSTRUCTION FORMS, INC.
CON FORMS • CF ULTRATECH

• Business Name

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  Organization Type

  --- Corporation Partnership Sole Proprietorship LLC

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• Type of Business

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  Date Started

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• Annual Sales $

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  Total Assets $

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• A/P Contact

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  Number of Employees

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• Name(s) of Owner(s) / Authorized Officer(s)

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• Federal Taxpayer ID # (TIN #)

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  D&B #

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• Email Address(es) to Receive Invoices

  Invoice Email #{{$index + 1}}

  Email {{errors['creditApplicationFormData.emailsForInvoices' + $index]}}

  {{errors['creditApplicationFormData.emailsForInvoices']}} ADD EMAIL
• Street Address

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  City

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  State

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  ZIP

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• Phone

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  Fax

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• Are sales to your organization taxable?

  YES NO

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• Do you self-assess use tax?

  YES NO

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• Exemption Certificate

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• County

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  Total Sales Tax Rate

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• Trade References (Minimum 3)

  Trade Reference #{{$index + 1}}

  Name {{errors['creditApplicationFormData.tradeReferences' + $index + 'name']}}

  Phone {{errors['creditApplicationFormData.tradeReferences' + $index + 'phone']}}

  Address {{errors['creditApplicationFormData.tradeReferences' + $index + 'address']}}

  Email/Fax {{errors['creditApplicationFormData.tradeReferences' + $index + 'emailFax']}}

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  ADD REFERENCE

If credit is extended, we agree to pay all debts incurred within the terms of sale. However, should the debt become past due we expressly agree (subject to statutory regulations) to pay finance charges on the past due amount at the rate of 1 1⁄2% per month (18% annual rate); provided that no provision of this agreement requires or permits the collection of finance charges in excess of the maximum amount permitted by law. We further agree to pay reasonable collection costs and/or attorney’s fees incurred in connection with the collection of this account. This application must be signed to be processed. Applicant’s signature attests financial responsibility, ability and willingness to pay our invoices in accordance with our terms on the invoice.
The above information is for the purpose of obtaining credit and is warranted to be true. We hereby authorize Construction Forms to investigate the references listed.