Personnel Plus, Inc. Friday, May 09, 2008  

Credit Application

***********************************************************************************************
Billing Information:
Name: Phone #    
P. O. Box or Street Address: Fax #    
 (continued)        
City: State: Zip:
Accounts Payable Contact: Contact Email:

***********************************************************************************************

Physical Address:
Name: Phone #    
Address: Fax #    
 (continued) Hours:    
City: State: Zip:
County: Contact Email:

***********************************************************************************************

Company Information:

Individual

 Buyers Name:

Length of time in business:

Partnership

Approximate Monthly Volume:

Corporation

Type of Business (Attorney, Accounting, Manufacturing, etc.):

Purchase Order Required? Yes No

Tax ID #:

Check if Subsidiary, and fill out name of parent company's office including city state and zip code:

***********************************************************************************************

Key Principals or Partners:
Name: Title:    
Residence Address: Residence Phone #    
(continued) Social Security #    
City: State: Zip:
% of Ownership:        
           
           
Name: Title:    
Residence Address: Residence Phone #    
(continued) Social Security #    
City: State: Zip:
% of Ownership:        
           
Name: Title:    
Residence Address: Residence Phone #    
(continued) Social Security #    
City: State: Zip:
% of Ownership:        
           
Name: Title:    
Residence Address: Residence Phone #    
(continued) Social Security #    
City: State: Zip:
% of Ownership:        
           
Name: Title:    
Residence Address: Residence Phone #    
(continued) Social Security #    
City: State: Zip:
% of Ownership:        

***********************************************************************************************
Trade References:  (3 required, if you don't have three, then please contact your local office for more info)
Name: Contact:    
Address: Phone #    
         
           
Name: Contact:    
Address: Phone #    
         
           
Name: Contact:    
Address: Phone #    
         
           
Name: Contact:    
Address: Phone #    
         
           
Name: Contact:    
Address: Phone #    
         

***********************************************************************************************

Terms of Sale and Agreement:

Applicant(s) agrees to pay all monies within 30 days from date of sale.  A finance charge of 1 1/2% per month, at an annual rate of 18%, will be charged on all delinquent accounts. (Minimum service charge is $1.00)  Should applicant default on terms and legal action become necessary, the Applicant(s) agrees to pay all collection expenses including administrative costs, court costs and attorney's fees.

Applicant(s) will inform Personnel Plus, Inc. (in writing) of any change in company name, address or phone number as soon as such
changes occur. The information given is warranted to be true and Applicant(s) authorize the release of all pertinent information necessary
for processing the Applicant's request for credit, including bank records and other financial data.

     
By

Title

 Date
     

5/9/2008 4:23:20 PM

__________________________________________

___________________

___________________

By filling out the above box with your first name, middle name, last name, and title, you agree to above terms and are legally electronically singing this document.

 
 

Your email address:

 
 
  

 
Privacy Policy  |   Terms of Use   |   Feedback / Webmaster
© Personnel Plus, Inc. All Rights Reserved.