EJE RECYCLING & DISPOSAL, INC.

                                               C&D LANDFILL, INC.

252-752-8274

      Credit Application for Account

Return To:  EJE Recycling, Inc., 802 Recycling Lane, Greenville, NC  27834 or (ejerecycle@yahoo.com)

Contact Information

Company/Individual Name:

Phone:

Fax:

E-mail:

Address:

City:

State:

ZIP Code:

Business Owner(s) 

Individual:

Partnership:

Corporation:

Other:

Person Responsible for Payment:

Federal ID or Social Security#:

Person(s) Authorized to Sign for Charges/Sales:

Business and Credit Information

Billing Address:

City:

State:

ZIP Code:

Telephone:

Fax:

E-mail:

Bank name:

Bank address:

Phone:

City:

State:

ZIP Code:

Type of account

Account number

Savings

Checking

Other

Business references (please list 3)

Company name:

Address:

City:

State:

ZIP Code:

Phone:

Fax:

E-mail:

Type of account:

Company name:

Address:

City:

State:

ZIP Code:

Phone:

Fax:

E-mail:

Type of account:

Company name:

Address:

City:

State:

ZIP Code:

Phone:

Fax:

E-mail:

Type of account:

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.

Signatures

FOR EJE use only

Name:

Title:

Date:

Date:

Credit Approved:

Account Number:

Credit Limit: