Please fill out
the fields below to apply for credit:
Contact:
Salesman:
Name:
E-mail:
Company:
Address:
Home
Phone:
Business Phone:
Business Fax:
Year
Established:
Amount
of Credit Requested:
Type:
corporation,
partnership, sole
Social
Security:
if sole
proprietorship
Tax
ID Number:
please fax tax exempt
form
President:
or partner
Secretary:
or partner
Treasurer:
or partner
Bank
Reference:
Bank
Phone:
Business
Reference 1:
Reference
1 Phone:
Business
Reference 2:
Reference
2 Phone:
If credit is
approved, all invoices must be paid fully within 30 days
of date of invoice or the credit line may be revoked in
the sole discretion of Stokes. Customer agrees to pay a
service charge of 1.5% per month or the highest rate
allowed by law from the due date of each invoice. In the
event the customer's account is placed for
collection, customer agrees to pay collection and/or
attorney's fees of 25% of the amount owed. Customer agrees
that any dealings between the parties shall be governed by
and interpreted in accordance with the laws of the State
of Pennsylvania and the customer further agrees, per
Stokes' option, to the jurisdiction of the courts of
Pennsylvania, state or federal, to determine any
controversy arising in the dealings.
Comments:
Copyright
2006 Stokes Electrical Supply Co., Inc. ... all rights reserved