Credit Application

APPLICATION  
Full Legal Business Name : 
Billing Address: 
City: 
State: 
Zip Code: 
Phone Number: 
Email Address:
Ship To Address :
City: 
State: 
Zip Code: 
Telephone: 
Fax :
Owner/President :
Social Security:
   
Applicant Type:
INDIVIDUAL   PARTNERSHIP   CORPORATION  
Year:
Federal ID#:
UBA  #: 
DBA #: 
   
Accounts Payable Contact: 
Email Address:
Estimated Monthly Purchases:
Desired Credits:
   
Type of Product Requesting:
Your Name: 
Title: 
TRADE REFERENCES  
Company Name: 
Address: 
Telephone: 
City: 
State: 
Zip: 
Contact Name: 
Position: 
Telephone: 
Fax: 
Acc #: 
   
Company Name:
Address: 
Telephone: 
City: 
State: 
Zip: 
Contact Name: 
Position: 
Telephone: 
Fax: 
Acc #: 
BANK REFERENCES  
Financial Institution: 
Address: 
City: 
State: 
Zip: 
Bank Account #: 
Contact Name: 
Position: 
Telephone: 
Fax: 

We warrant the information provided to be true. I, an authorized officer, grant permission to investigate the references, including commercial and consumer credit checks. I agree to pay Metro Forms Inc.(DBA, Rapidsupplies.com),  within the terms of sale and understand that a $25.00 service charge applies to all dishonored checks. A service charge of 18% per year will be imposed upon the accrued, unpaid balance of any bill not paid within 30 days. If the account is placed with an attorney, whether a lawsuit is filed or otherwise. Or if any services are required to protect our interest, we agree to pay all costs and suite fees, including a reasonable attorney?s fee on the principal and service charges.