CREDIT APPLICATION

You can download a copy of our credit application by clicking here.  If you fill out the online form below please attach a copy of the Michigan Sales and Use Tax Certificate of Exemption form.  You can get that form by clicking here.

[]
1 Step 1
Business Name
Mailing Address
City
State
ZIP
Shipping Address
State
City
ZIP
Website Address
Type Of Business
Years In Business
Fed ID#
President / Owner
Number Of Employees
Business References
Business Name 1
Address
Phone Number
Fax Number
Years Doing Busines With
Business Name 2
Address
Phone Number
Fax Number
Years Doing Busines With
Business Name 3
Address
Phone Number
Fax Number
Years Doing Busines With
Bank Reference
Bank
Acct Officer
Bank Address
Bank Address
City
State
ZIP

The undersigned company representative authorizes Bond Fluidaire Inc to make the necessary inquiries with the above named sources to opan an account.  It further undtands that payments will be made within the terms stated on our invoices.  1% 10 days, Net 30 days.  in the event of default, you are responsible for any and all actual collection costs, atterney fees and expenses to collect the past amount owed.

Signed By
Date
Michigan Sales and Use Tax Certificate of Exemption Formupload
Upload
Previous
Next

Subscribe To OurBlog

Subscribe To OurBlog

Join our mailing list to receive the latest news and updates from our team.

You have Successfully Subscribed!