tag_line_l.jpg (2585 bytes) tag_line.jpg (5186 bytes)
Our Company
Products
MSDS
Product Applications
Specifications
Spec Manual
Pricing
Distributors
What's New
Forms
Warranty Information
Contact Us
Home

Credit Application


General Information 
Company Name:
Telephone:
Mailing Address:
City:
State:
Zip:
Street Address:
City:
State:
Zip:
Email:
Business Structure:
Corporation Partnership Proprietorship
Type of Business:
Distributor Wholesaler Retailer Manufacturer
Federal ID Number: 
Date Established:
Insurance Co.:
Credit Line Desired:
Accounts Payable Contact:
Principal Owner(s):
1) Name:
Title:
Soc.Sec#:
Home Address:
City:
State:
Zip:
Home Phone:
2) Name:
Title:
Soc.Sec#:
Home Address:
City:
State:
Zip:
Home Phone:
Financial Information - Suppliers
(List Four)
1) Name:
Address:
City:
State:
Zip:
Phone:
2) Name:
Address:
City:
State:
Zip:
Phone:
3) Name:
Address:
City:
State:
Zip:
Phone:
4) Name:
Address:
City:
State:
Zip:
Phone:
Bank Accommodations:
1) Bank Name:
City:
State:
Zip:
Phone:
Contact Person:

Account Numbers

Checking:
Savings:
Loans:
2) Bank Name:
City:
State:
Zip:
Phone:
Contact Person:

Account Numbers

Checking:
Savings:
Loans:
Important: In consideration of International Diamond Systems, Inc. (hereinafter referred to as International Diamond) extending credit to applicant, the applicant agrees to pay for all materials delivered to or at the request of the applicant by International Diamond, within the terms as stated on invoices for said materials. Applicant understands and agrees that unless otherwise stated on confirmation order payment terms are Net 30. Applicant further agrees that a financial charge of 1-1/2% per month (18% per annum) shall apply to past due items and applicant promises to promptly pay such charges. In the event that International Diamond commences litigation, or employs attorneys in order to obtain payment of any sums due from applicant, the applicant agrees to pay for reasonable attorney fees in addition to all other sums due. The applicant authorizes International Diamond to obtain credit and financial information concerning the applicant at any time from any source.

By submitting this form the applicant warrants that the above agreement has been read and that the applicant understands the content of this agreement. International Diamond reserves the option to reject any application that is not complete or properly submitted.

Submitted by (Officer Required):
Title:
Date:

 

 


 

Factory Mutual Systems Approved and UL Classified