802 Recycling Lane Greenville, North Carolina 27834 Phone:252.752.8274
Fax:252-752-9016
creditapp
Company Name: _____

Address: ___________

Phone:_____________

Fax:______________ _

Email: ____________ _

City: _____ _________

State: _____________

Zip Code:___________




_



Person Responsible for Payment:

_________________ _

Federal ID or Social Security#:

___________ _______

Business and Credit Information

Billing Address:_ _____

City: ______________

State:__________ ___

Zip:____________ ___

Phone: __________ __

Fax:_______________

Email: ___________ __

Bank Name: _______ _

Bank Address:_______

Bank Phone: ________

Bank State:_________

Bank Zip: _________ _

Type of Account



Business References:

Please list (3) references which include

Company Name
Address
City
State
Phone
Fax
Email
Type of Account

References: ______

Agreement

1.   All invoices are to be paid 10 days from the date of statement. If payment in full is not received within 30 days of statement date, a finance charge of 1 ½% per month shall be imposed upon the unpaid balance of your account for the previous month and credit privileges will be terminated.

2.   Claims arising from invoices must be made within seven working days.

3.   By submitting this application, you authorize EJE or EJE’s commissioned agent to make inquiries into the banking and business/trade references that you have supplied.



 

Content on this page requires a newer version of Adobe Flash Player.

Get Adobe Flash player