Company Type:

Company Name:

 Address

City, St. Zip:

Phone:

Incorporated State:

Fax:

DUNS Number :

FEIN# or Tax ID:

Ship to Address:

Owner/President :

City, St. Zip:

Guarantee Available :

Yes

Billing Phone:

Credit Limit Requested :

$

Owner/President

Email:

Company Website:

Accounts Payable Contact:

AP Email:

Business Type:

PO Required:

Years in Business:

Years at this Location:

Parent Company:

This Location is a:

Trade References: Please list graphic arts firms and other local businesses where you have an open account in the past year.

Bank Name:

Bank Acct. No:

Officer:

Phone:

Fax

Address:

City/State/Zip

CREDIT APPLICATION
The above information is for the purpose of obtaining credit with Fehr Bros. Industries, Inc. and is warranted to be true by the undersigned applicant. The Applicant authorizes Fehr Bros Industries, Inc. to investigate all credit references and other sources pertaining to our credit and financial responsibility.

AUTHORIZING STATEMENT
The person filling in this form:
1) certifies that all information provided is true and correct

2) knows that if credit is extended to Applicant, payment on all purchases is due in full within 10 days from date of invoice. Any discrepancies with invoices must be reported to Accounts Receivable within 10 days of invoice date. If not reported, Fehr Bros. Industries, Inc. will consider the invoice to be correct as issued.
3) authorizes its banks and trade references to provide Fehr Bros. Industries, Inc. with complete information for the purpose of credit evaluation

4) acknowledges this application shall remain Fehr Bros. Industries, Inc.'s property whether or not credit is accepted or approved

5) If the need arises to use outside collection services to resolve past due invoices collection costs, including reasonable attorney fees, shall be payable by the purchaser. Any resulting legal issues will be filed and conducted in Ulster County, New York.
5) have read and agrees to abide by the complete credit terms and conditions

Yes, I Agree.

Signature:

Title:

Date: