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Credit Application - Texon Athletic Towel

Texon Athletic Towel & Laundry Supply extensive product line is available to customers who order via phone, fax, e-mail, or in person by dealing with one of our qualified sales representatives. If you would like to open up an account with us, please complete and submit the credit application below.

This process is completed in four pages, which is easily completed online. Please complete each:
1. Credit Application  2.Terms & Conditions  3. Open Account Policy  4. Credit Information Release Letter
As you submit each one, you will be brought to the next, with a completion confirmation page at the end.

If you would rather open up an account by speaking to a professional in our Customer Care Department, please contact us from the options listed on the Contact Page. The only type of account we offer is the open account - the type of account that must be paid in full each month. We do not offer revolving accounts or installment accounts. Our terms of sale are "Net 10th" which means anything bought in one month is due by the 10th of the following month.

  Company Information
Company Name: *

Legal Business Name:

State Resale Number (If Applicable):
 Secure Data
Contact Name: *

Email Address: *

Daytime Telephone (xxx-xxx-xxxx): *

Fax Number (xxx-xxx-xxxx):

Address:

City:

State/Province:

Postal Code:

Country:


Company Owned Real Property:
No Yes
Complete Address: (If different from above)
Business Classification:

How Long in Business?(yrs)

Federal ID Number (If Applicable):
 Secure Data
Dunn & Broadstreet Number:
 Secure Data
Type of Business:

Incorporated in What State?

If less than one year, previous address:


Bank Reference
Company Bank Name:

Bank Account Number:
 Secure Data
Bank Branch:

Bank Contact Person:

Bank Address:

Bank City and State:

Bank Phone Number (xxx-xxx-xxxx):

  Trade References

Supplier One Name:

Phone Number (xxx-xxx-xxxx):

Fax Number (xxx-xxx-xxxx):

Contact Name:

Address:

City/State/Zip:

Supplier Two Name:

Phone Number (xxx-xxx-xxxx):

Fax Number (xxx-xxx-xxxx):

Contact Name:

Address:

City/State/Zip:

Supplier Three Name:

Phone Number (xxx-xxx-xxxx):

Fax Number (xxx-xxx-xxxx):

Contact Name:

Address:

City/State/Zip:

  Principals of Company
Name One:

Social Security Number:
 Secure Data

Title One:

Address:

Own Rent

Name Two:

Social Security Number:
 Secure Data
 Title Two:

Address:

Own Rent

Authorized People to Purchase: (Seperate by Comma)

  Brief Survey

How did you hear about us?    Other:

Specific Product Interest:
Athletic Towels Laundry Collars Antimicrobial Shipping Hampers
Quarterback Towels Liquid Laundry  Laundry Bags Elevated Trucks
Washcloths Citrus Pre-Spotter Laundry Carts Sorting Carts
Other:

Purchase Order(s) Required:
 No Yes
Request Credit Desired:
 ($00000)
Estimated Monthly Purchases:
 ($00000)

  Agreement - Corporation

In the event payment is not made and this account is referred for collection, I/WE will pay the cost of collection equal to a minimum amount of twenty-five percent of the principal amount except limited by local law. I/WE understand interest on any unpaid balance will be charged at the highest rate authorized by law. If suit or action by an attorney is instituted, I/WE promise to pay reasonable attorney fees in said suit or action. It is understood that all billing of accounts receivables & credit are processed through head-quarters in Wayne County, MI. It is understood that in the event of a suit or action, it is understood that Wayne County, MI, at the option of QVS is the venue for litigation. I/WE understand that I/WE are waiving our right to litigate outside of Marion County, Indiana.

Full Name*:   Initials*: Digitally Signed  Date: (mm/dd/yyyy)

  Agreement - Proprietor/Owner

I/WE undersigned agree to guarantee payment of all sums due and owing. I/WE understand that venue is as stated above and this continuing guarantee shall not be revoked except by 90 days advance written notice to Texon Athletic Towel .

Full Name*:   Initials*: Digitally Signed  Date: (mm/dd/yyyy)
Is the buyer currently in a Bankruptcy Proceeding, or has the buyer filed a Voluntary Bankruptcy, or had an Involuntary insolvency proceeding filed against it wirhin the last 14 years? Are you currently a party to any lawsuit, or are there any outstanding judgments against the buyer? If the answer is yes to either, please explain in the provided box below.

If you are currently working with a Account Manager, please specify on the space below.
Sales Representative:

Verification Code:

Please Enter Code*:
 
Please allow 2-3 business days for our Customer Service Department to confirm the approval of your Credit Application. One of our friendly representatives will contact you and be happy to discuss all of your product needs. Thank you for your interest in becoming a Texon Athletic Towel & Laundry Supply customer!
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