Credit Application! Please submit the attached Credit Application if you are interested in obtaining credit terms with us. Credit Terms If you have not purchased from us before, we request that your first order be prepaid with a check or credit card. Our payment terms are Net 15 from date of invoice. Please Note: For any A/R customers paying on terms, we request a minimum annual purchase volume of at least $2,000 and single order of no less than $200. Below these thresholds, as it is really uneconomical for us to handle the paperwork involved, we suggest you use a credit card. Your Credit Limit Your terms will be paired with a credit limit that best fits your needs. After one full year of payments and purchase history we will be happy to review your account and consider requests for extension of credit limits upon your request. Late Payments As your order is not invoiced until it ships, we insist on our terms being timely honored. If you anticipate having to delay a payment past our payment terms, please give us a call to check if we can work something out, as interest of 2.5% per month ($25 minimum, plus reasonable collection agency and/or attorney s fees) will be charged on all past due balances. To Apply: (1) Pages 1-2 / Credit Application Complete these pages and fax or mail directly to my attention (see information below). It is important to include all required information and that the Credit Application be signed by the owner or a corporate officer of the company. (2) Pages 3-6 / Bank & Trade Credit References Complete and sign Section 1 (the Applicant s section) on the Bank Reference and on each of the three Credit Reference sheets and submit these pages directly to your bank and your credit references. We cannot process your application until we have received completed credit checks from ALL of your references! (3) Thanks! We appreciate your taking the time to fill out your application and reference sheets completely. We will not accept a separate Credit Reference Sheet. All Credit References must be filled out on the application. Please allow two to three weeks for it to be processed. The timing will vary depending on the responsiveness of your references. We look forward to serving you! Sincerely, Katie Wagner, PVF&GS Bookkeeping Attn: Katie Wagner/Bookkeeping Department
Credit Application - Page 1 (To be completed by applicant and faxed to (530) 272-4794 attn: Katie/Bookkeeping) Business Legal Name... Doing Business As (if different than above)... Organization Type (circle one): C-Corporation, S-Corporation, General Partnership, Limited Liability Partnership, Sole Proprietorship, Other (please describe):.. In Business Since:... Registered Since:... Where (State):...... Fed. Tax ID#:...... Resale Permit #:......, D&B #:...... Business Shipping Address:...... City, State, Zip:......... Telephone:...... Fax:... Business Billing Address:......... Telephone:..., Fax:...... Authorized Purchasers (other than owners):... Number of Full Time Employees:...,, Main Line of Business:......... Website URL:... Owner Name (1):......, Ownership:...%, Active in Mgt of Biz: Yes / No Owner Name (2):......, Ownership:...%, Active in Mgt of Biz: Yes / No
Credit Application - Page 2 (To be completed by applicant and faxed to (530) 272-4794 attn: Katie/Bookkeeping) Owner Name (3):......, Ownership:...%, Active in Mgt of Biz: Yes / No V Owner Name (4):......, Ownership:...%, Active in Mgt of Biz: Yes / No Owner Name (5):......, Ownership:...%, Active in Mgt of Biz: Yes / No I/We fully understand that payment terms given by PVFS are from date of invoice and I/We unconditionally agree to pay all invoices in full, in complete accordance with their terms & conditions, including late charges fees of 5% per month ($25 minimum charges) on all past due amounts, plus reasonable collection agency and/or attorney s fees, if any, incurred by PVFS to collect past due amounts. Please note that we will not process this credit application unless signed by the Majority Owner of the Company, the President of the Corporation or the General Partner of the Partnership. Signature:... Name (print please):... Date Title:... Amount of Credit You Are Requesting (how much do you think you will buy over a 30 day period?): $...... (this area for PVFS s use) Cust ID#:......, Credit Limits: $........., Approved by:......, Date:...
Bank Credit Reference Check The Credit Applicant below has listed your bank as a credit reference. Please indicate past experience with this account. Any information you furnish will be held in the strictest confidence, and authorization for disclosure of this information has been provided. Company: Address: City: State: Zip: Phone: Fax: Bank Name: Branch Address: Telephone: Fax: Bank Contact Name: Title: Checking Acct Number: Savings Acct Number: I/We hereby request the above-mentioned bank reference to release, either verbally or in written form, any relevant financial/credit information to PVF&GS for the purpose of opening a credit account. Signature: Date: Name (print please): Title: Account since Account average balance is High or Average or Low (circle one) figures Your Name Position Date Any other relevant comments: Questions? Contact PVF&GS Attn: Katie/Bookkeeping at (530) 272-4769 x111
Trade Credit Reference #1 SECTION 1: CREDIT APPLICANT Complete and Sign this section. Company Name: Address: City: State: Zip: Telephone: Ext Fax: I/We hereby authorize the company named below to release, either verbally or in written form, any relevant financial/credit information to PVFS for the purpose of opening a credit account. Signature: Date: Name (print please): Title: Trade Reference Information Company Name: Address: City: State: Zip: Phone: Fax: Account Number: Describe below the products and/or services you now purchase from this trade reference: SECTION 2: CREDIT REFERENCE Complete this section and fax entire page to: (530) 272-4794 The Credit Applicant listed above has listed your company as a credit reference. Please indicate any past credit experience with this account. Information you furnish will be held in the strictest confidence, and authorization for disclosure of this information has been provided above. Account since: Credit limit (if any): $ Payment Terms: Account is (circle one): Prompt (before terms) Good (mostly on time) Fair (sometimes late) Slow (always late) Any overdue? How late? Known reason: Other relevant comments: Signature: Position: Date: Questions? Contact PVF&GS Attn: Katie /Bookkeeping at (530) 272-4769 x111
Trade Credit Reference #2 SECTION 1: CREDIT APPLICANT Complete and Sign this section. Company Name: Address: City: State: Zip: Telephone: Ext Fax: I/We hereby authorize the company named below to release, either verbally or in written form, any relevant financial/credit information to PVFS for the purpose of opening a credit account. Signature: Date: Name (print please): Title: Trade Reference Information Company Name: Address: City: State: Zip: Phone: Fax: Account Number: Describe below the products and/or services you now purchase from this trade reference: SECTION 2: CREDIT REFERENCE Complete this section and fax entire page to: (530) 272-4794 The Credit Applicant listed above has listed your company as a credit reference. Please indicate any past credit experience with this account. Information you furnish will be held in the strictest confidence, and authorization for disclosure of this information has been provided above. Account since: Credit limit (if any): $ Payment Terms: Account is (circle one): Prompt (before terms) Good (mostly on time) Fair (sometimes late) Slow (always late) Any overdue? How late? Known reason: Other relevant comments: Signature: Position: Date: Questions? Contact PVF&GS Attn: Katie /Bookkeeping at (530) 272-4769 x111
Trade Credit Reference #3 SECTION 1: CREDIT APPLICANT Complete and Sign this section. Company Name: Address: City: State: Zip: Telephone: Ext Fax: I/We hereby authorize the company named below to release, either verbally or in written form, any relevant financial/credit information to PVFS for the purpose of opening a credit account. Signature: Date: Name (print please): Title: Trade Reference Information Company Name: Address: City: State: Zip: Phone: Fax: Account Number: Describe below the products and/or services you now purchase from this trade reference: SECTION 2: CREDIT REFERENCE Complete this section and fax entire page to: (530) 272-4794 The Credit Applicant listed above has listed your company as a credit reference. Please indicate any past credit experience with this account. Information you furnish will be held in the strictest confidence, and authorization for disclosure of this information has been provided above. Account since: Credit limit (if any): $ Payment Terms: Account is (circle one): Prompt (before terms) Good (mostly on time) Fair (sometimes late) Slow (always late) Any overdue? How late? Known reason: Other relevant comments: Signature: Position: Date: Questions? Contact PVF&GS Attn: Katie /Bookkeeping at (530) 272-4769 x111