Scaffolding Today Inc.
11827 Eastex Freeway, Houston, Texas 77039
P.O. BOX 11643 Houston, Texas 77293
Phone: 281 449 7900 Fax: 281 449 7904
www.scaffoldingtoday.com
CREDIT APPLICATION
Business Name:
Billing Address:
Adress #2:
City:
State:
Zipcode:
Phone #:
Fax:
Email:
Contact Person:
Contact Postion:
Driver License:
State of Driver License:
Type of Ownership:
(Sole Proprietership, Corporation, LLC)
Purchase order required?
(Yes or No)
Principals Name
and Title
BANK INFORMATION
Banking Institution:
City:
State:
Contact Person:
Phone #:
Account #:
BUSINESS/CREDIT REFERENCES – OPEN ACCOUNTS
1) Company:
2) Company:
Contact Person:
Contact Person:
Address:
Address:
Phone #:
Phone #:
Comments:
Comments:
3) Company:
4) Company:
Contact Person:
Contact Person:
Address:
Address:
Phone #:
Phone #:
Comments:
Comments:
AGREEMENT REGARDING EXTENSION OF CREDIT
WHEREAS,
Scaffolding Today, Inc. agrees to extend credit to:
upon credit approval. In Consideration of the extension of credit, I
, render myself “PERSONALLY LIABLE” on behalf of the business entity referenced herein on all current and future credit purchases and credit extensions. I personally guarantee to pay interest at a rate of 1.5% per month or 18% A.P.R. on all past due accounts. I promise to pay all reasonable attorney fees, collection agency fees, court costs and legal fees in the event of default or failure to pay in accordance with credit terms herein.
____________________________________________ (Sign Individually – not as a Corporate Officer) (Date)
____________________________________________ (Sign Individually – not as a Corporate Officer) (Date)