Credit Application for a Business Account

Business Contact Information


Business and Credit Information

Type of account(Required)

Business/Trade References

Reference one

Reference two

Reference three


1. All invoices are to be paid 30 days from the date of the invoice.
2. Claims arising from invoices must be made within seven working days.
3. By submitting this application, you authorize Marina Electrical Equipment, Inc. to make inquiries into the banking and business/trade references that you have supplied.


Second Signature if Two People are Applying