Credit
Application
Phone 313 869-5530
Web Site
www.wpom.com
Fax 313 869-3330
E-mail
wpom@sbcglobal.net
Toll-free 1800 949-3305
________________________________________________________________________________________________________
All orders
outside of the United States by credit card only. Terms and
conditions apply to net 15 days only.
All first orders
must be paid for by check, money order, or credit cards. Upon
second-order account can be applied for.
This information
must be completed in full. All information will be held in
strictest confidence.
Business Name
__________________________________
Telephone _______________________
Address
________________________________________
Fax ____________________________
City
________________ State
___________ Zip _______ e-mail
__________________________
Corporation
____ Partnership ____ Individual ____
Proprietorship ____
Incorporated
within the last 12 months ______ Nature of Business
______________ Credit Requirement _______
------------------------------------------------------------------------------------------------------------------------------------------------------------
Name(s) of
Principal(s)
-
Name
________________________________ Title ______________
Home Address
_______________________________ City ____________________ State
______ Zip _________
-
Name
________________________________ Title ______________
Home Address
_______________________________ City ____________________ State
______ Zip _________
-
Name
________________________________ Title ______________
Home Address
_______________________________ City ____________________ State
______ Zip _________
-----------------------------------------------------------------------------------------------------------------------------------------------------------
Finance
Bank Name
________________ Address ________________ City ____________
State ______ Zip ________
Bank Telephone
_________________ Bank Account Representative
________________________
---------------------------------------------------------------------------------------------------------------------------------------------------------
Trade
References
Name
_________________________ Address ________________ City
____________ State ______ Zip ________
Name
_________________________ Address ________________ City
____________ State ______ Zip ________
Name
_________________________ Address ________________ City
____________ State ______ Zip ________
GUARANTEE
In consideration of WORLD PLASTICS OF MICHIGAN, INC. extending
credit to the firm whose name appears on this application and/or for
value received, I/we jointly and severally, in an individual
capacity, and not as an agent far said firm, personally guarantee
the payment of any balance due WORLD PLASTICS OF MICHIGAN, INC. on
default by said firm and without first requiring it to proceed
against said firm. It is agreed that all charges not paid within 15
days of billing date by said firm are subject to a periodic charge
of 1˝% per month. In the event of default in payment by said firm it
is agreed that the undersigned shall pay all collection and court
cost, including a reasonable attorney's fee. This is a continuing
guarantee unless terminated in writing, via certified mail to WORLD
PLASTICS OF MICHIGAN, INC. the undersigned. It is understood that
said termination shall be prospective in effect only and that this
guarantee shall remain in effect with regard to any balances
incurred prior to the date of termination. Notice of acceptance of
this guarantee is waived.
Dated
___________ Title _________________ Guarantor(s) Signed
_____________________________________
Witnessed by:
___________________________
____________________________________
You will be
notified within 10 days with results of application.
____________________________________
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Office use only.
Referenced
Checked By _______________ Date ________ Approved By
_______________ Date __________
