Commercial Account Credit Application

Tel (713) 453-6969 • Fax (713) 453-1604

ACCOUNT INFORMATION

Date:

Business Name: *

Billing Address (Street) *

City*

State*

Zip*

Telephone No.: *

Fax No.:

E-mail

Contact Person: *

Federal ID or SS# *

Where and how did you hear about Tharling Appliance A/C & Heat

 
 

PERSON RESPONSIBLE FOR PAYMENT
(If Business is Sole Proprietorship)

 

Check if same as above

Name:*

Personal Address:*

Business Phone No.:*

Personal Phone No.*


ACCOUNTS PAYABLE DEPT. INFORMATION
(If Business is a Partnership or Corporation)

Contact Person:

Phone No. (extension):

Best time to call:

Information supplied by:

Date


 REFERENCES (3)

Reference 1*

Reference 2*

Reference 3*

Bank Name & Address*

  

Bank Account Number*

Payment expected on the first visit. This is only with Approval on credit

 

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