Credit Application | Iron Bear Trailer

Legal Business Name(Required)

Trade Name (DBA)

Phone(Required)

Fax

Shipping Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email for Order Confirmations(Required)

Backorder Preference (Choose One)

FILL AND KILL (NOTHING PUT ON BACKORDER)

FILL AND BACKORDER

PURCHASE ORDERS ARE REQUIRED FOR ALL ACCOUNTS

Federal Tax ID Number(Required)

Date Business Began Under Current Ownership(Required)

Business Typle(Required)

SOLE PROPRIETOR

PARTNERSHIP

CORPORATION

LLC

NON-PROFIT

GOVERNMENT

Tax Exempt(Required)

YES

Sales Tax LIcense Number

State

ATTACH COPY OF SALES TAX LICENSE

Max. file size: 50 MB.

*OFFICERS & OWNERS

Name #1(Required)

Name #1 Email(Required)

Name #1 Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Name #2(Required)

Name #2 Email(Required)

Name #2 Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

APPROVED BUYERS

ONLY THOSE LISTED BELOW WILL BE ALLOWED TO CHARGE ON THE ACCOUNT. THE COMPANY IS RESPONSIBLE FOR KEEPING THIS LIST CURRENT. FIRST AND LAST NAME REQUIRED

Approved Buyer List

Add multiple by clicking "+" to the right.

DO YOU AUTHORIZE THESE EMPLOYEES TO USE YOUR COMPANY ACCOUNT PRICING TO MAKE PERSONAL PURCHASES?

YES

(EMPLOYEE PAYS COD, NOT CHARGED TO ACCOUNT)

ACCOUNTS PAYABLE

AP Contact Name

AP Contact Email

AP Phone

AP Fax

Email for Invoices

BANK REFERENCE

Name of Bank(Required)

Bank Contact

Bank Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Bank Account Number(Required)

Bank Phone(Required)

Bank Email(Required)

TRADE REFERENCES

MUST HAVE FAX OR EMAIL *INCOMPLETE APPLICATIONS WILL BE RETURNED*

Company #1(Required)

Company #1 Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Company #1 Phone(Required)

Company #1 Fax

Company #1 Email(Required)

Company #2(Required)

Company #2 Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Company #2 Phone(Required)

Company #2 Fax

Company #2 Email(Required)

Company #3(Required)

Company #3 Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Company #3 Phone(Required)

Company #3 Fax

Company #3 Email(Required)

SIGNATURE

BY SUBMITTING THIS APPLICATION, THE UNDERSIGNED AGREES TO THE TERMS AND CONDITIONS OF CREDIT AND AUTHORIZES IRON BEAR TRAILER TO MAKE INQUIRIES INTO THE BANKING AND TRADE REFERENCES SUPPLIED. BUYER AGREES TO PAY ALL COLLECTIONS COSTS, ATTORNEY’S FEES AND COURT EXPENSES INCURRED TO COLLECT UNPAID BALANCES.

TERMS & CONDITIONS

ALL INVOICES ARE DUE NET 30. A 1.5% MONTHLY LATE CHARGE WILL BE ASSESSED ON ALL DELINQUENT ACCOUNTS. IRON BEAR TRAILER MAY TERMINATE CREDIT AT ITS SOLE DISCRETION. CREDIT CARDS ARE ONLY ACCEPTED AS PAYMENT ON CHARGE ACCOUNTS WITH AN ADDED 3% FEE. ***PLEASE ALLOW 2 WEEKS FOR PROCESSING***

Officer Signature(Required)

Title

Today's Date

PERSONAL GUARANTEE

THE UNDERSIGNED, FOR CONSIDERATION, DO HEREBY INDIVIDUALLY AND PERSONALLY GUARANTEE THE FULL AND PROMPT PAYMENT OF ALL INDEBTEDNESS HERETOFORE OR HEREAFTER INCURRED BY THE ABOVE BUSINESS. ANY REVOCATION OF THIS GUARANTEE DOES NOT REVOKE THE OBLIGATION OF THE GUARANTORS TO PROVIDE PAYMENT FOR INDEBTEDNESS INCURRED PRIOR TO THE REVOCATION.

Guarantor's Signature(Required)

Guarantor's Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Social Security Number(Required)

Date of Birth(Required)

Today's Date(Required)

Iron Bear Trailer Credit Application

***PURCHASE ORDERS ARE REQUIRED FOR ALL ACCOUNTS***

*OFFICERS & OWNERS

APPROVED BUYERS

ACCOUNTS PAYABLE

BANK REFERENCE

TRADE REFERENCES

SIGNATURE

TERMS & CONDITIONS

PERSONAL GUARANTEE

PURCHASE ORDERS ARE REQUIRED FOR ALL ACCOUNTS