Credit Application for a Business Account Business Contact InformationTitle(Required)Company name(Required)Phone | Fax(Required)E-mail(Required)Registered company address City, State ZIP Code(Required)Date business commenced(Required) Sole proprietorship Partnership Corporation Other Business and Credit InformationCity, State ZIP Code(Required)How long at current address?(Required)Phone(Required)FaxE-mail(Required)Bank name:(Required)Primary business address City, State ZIP code(Required)Phone(Required)Account number(Required)Type of account(Required) Savings Checking Other Business/Trade ReferencesReference oneCompany name(Required)Address(Required)City, State ZIP code(Required)Type of Account(Required)Phone(Required)FaxE-mail(Required)OtherReference twoCompany name(Required)Address(Required)City, State ZIP code(Required)Type of Account(Required)Phone(Required)FaxE-mail(Required)OtherReference threeCompany name(Required)Address(Required)City, State ZIP code(Required)Type of account(Required)Phone(Required)FaxE-mail(Required)OtherAgreement1. 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.SignaturesSignature(Required)Your NameYour NameYour NameYour NameName and Title(Required)Date(Required)Second Signature if Two People are ApplyingSignatureYour NameYour NameYour NameYour NameName and TitleDateHow did you hear about us?(Required) Google search Social media post Saw us at an event Referral from a friend
