Credit Application
West Campus
402 Millstone Dr.
Hillsborough, NC 27278
Email: info@stevenmarsilisales.com
Tel: (888) 360-9784 Fax:(888)314-1393
APPLICANT DATA
Name of Company_____________________________________________________________________
Address______________________________________________________________________________
City/State/Zip_________________________________________________________________________
Contact at Company__________________________________ Phone: ( )_____________________
Type of Business_____________________________________ Fax: ( )____________________
Date Established_____________Annual Sales Volume_______________Resale #___________________
BILLING ADDRESS (If Different From Above)
IMPORTANT - IN ORDER FOR YOUR CREDIT APPLICATION TO BE PROCESSED ALL AREAS BELOW MUST BE FILLED IN COMPLETELY. FAX NUMBERS MUST BE PROVIDED.
BANK REFERENCE
Name_________________________________Address____________________________________
City__________________________________ State______________________________________
Phone ( )__________________________ Contact____________________________________
Account Number________________________ Loan Account Number________________________
BUSINESS CREDIT REFERENCES
Account Number________________________ Fax ( )_______________________________
The undersigned, as representative of the above company, guarantees payment by the company within (30) days of any indebtedness by any employee of said company.
____________________________________________________ ____________________________________________
Signature of Officer Date Title