Summit C.F.S., Inc.
Credit Application and Agreement to Terms and Conditions of Service

Company Name: Telephone:
Address: Fax Number:
City: State:
Zip Code:    
Type of Organization: Date Established:
COMPANY DIRECTORS / OFFICERS / PRINCIPAL
Name 1: SS Number1:
Direct Telephone1: Home Address1:
Name 2: SS Number2:
Direct Telephone2: Home Address2:
Name3: SS Number3:
Direct Telephone3: Home Address3:
Financial Statements Available: Yes No Annual Sales:
Monthly Dollar Credit Sought: Years in Business:
(NOTE: IF IN BUSINESS LESS THAN 5 YEARS, PLEASE COMPLETE PERSONAL GUARANTEE COLUMN)
BANKING DETAILS
Bank Name: Account Number:
Person To Contact: Branch Address:
Bank Telephone: Bank Fax:
TRADE REFERENCES
Vendor1: Vendor Contact1:
Vendor Address1: Vendor Phone1:
Vendor Fax1:    
Vendor2: Vendor Contact2:
Vendor Address2: Vendor Phone2:
Vendor Fax2:    
Vendor3: Vendor Contact3:
Vendor Address3: Vendor Phone3:
Vendor Fax3:    
Applicant Title:    
Vendor Contact3:    

CONDITIONS

THE UNDERSIGNED HEREBY ACKNOWLEDGES AND AGREES, ON HIS OR HER OWN BEHALF OR ON BEHALF OF THEAPPLICANT, THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS TO BE USED FOR THE PURPOSE OF EVALUATING THE CREDITWORTHINESS OF THE APPLICANT. ACCORDINGLY, THE UNDERSIGNED WARRANTS THAT HE OR SHE IS AUTHORIZED TO EXECUTE THIS CREDIT APPLICATION AND AGREEMENT ON BEHALF OF THE APPLICANT, THAT THE INFORMATION SET FORTH IN THIS APPLICATION HAS BEEN PROVIDED WILLINGLY, THAT THE INFORMATION PROVIDED IS TRUE AND CORRECT.

ON BEHALF OF THE APPLICANT, THE UNDERSIGNED HEREBY AUTHORIZES SUMMIT C.F.S., INC. TO OBTAIN A CREDIT REPORT REGARDING THE APPLICANT AND TO CONTACT THE BANK(S), TRADE REFERENCES AND OTHER PERSONS IDENTIFIED TO ESTABLISH THE CREDITWORTHINESS OF THE APPLICANT. IF THE APPLICANT IS NOT A CORPORATION, THE UNDERSIGNED HEREBY AUTHORIZES SUMMIT C.F.S., INC. TO OBTAIN CREDIT REPORTS AND OTHER FINANCIAL INFORMATION REGARDING THE OWNERS, PARTNERS OR PRINCIPALS OF THE APPLICANT.

ON BEHALF OF THE APPLICANT, THE UNDERSIGNED FURTHER ACKNOWLEDGES AND AGREES THAT ALL DECISIONS TO EXTEND OR GRANT CREDIT TO THE APPLICANT, TO CONTINUE TO EXTEND OR GRANT CREDIT, OR TO WITHDRAW CREDIT SHALL BE AT THE SOLE DISCRETION OF SUMMIT C.F.S., INC.

THE UNDERSIGNED FURTHER ACKNOWLEDGES AND AGREES THAT, IN THE EVENT THAT GOODS ARE TENDERED TO SUMMIT C.F.S., INC. FOR TRANSPORT, STORAGE OR HANDLING, ALL SERVICES PROVIDED BY SUMMIT C.F.S., INC. SHALL BE GOVERNED BY THE TERMS AND CONDITIONS OF SERVICE WHICH ARE SET FORTH ON THE LAST PAGE OF THIS APPLICATION AND AGREEMENT, AND THAT HE OR SHE HAS READ AND AGREES TO THOSE TERMS AND CONDITIONS OF SERVICE ON BEHALF OF THE APPLICANT.

THE UNDERESIGNED FURTHER ACKNOWLEDGES AND AGREES THAT HE HAS RECEIVED A COPY OF THIS CREDIT APPLICATION AND AGREEMENT.
Name of Applicant: Apply Date:
Applicant Title    
By submitting this credit application, the applicant AGREES to the above Conditions.
   

Personal Guarantee Form
If you have been in business less than 5 years, click her to fill out the Personal Guarantee required.