MORE SALES, INC.
200 Sands Point Drive
Tierra Verde, FL 33715
info@moresales.com
US: 1 (800) 226-3903
LOCAL: (727) 573-7761
FAX: (727) 556-2525
Applying For
COD Business Check
N30
Company Name
d/b/a
BILL TO INFORMATION:
Name
Address
City
State
Zip Code
Phone
Fax
Email
SHIP TO INFORMATION:
Name
Address
City
State
Zip Code
Phone
Fax
Email
BUSINESS INFORMATION:
Type of Business
Corporation
Partnership
Sole Proprietorship
If Subsidiary, name of parent company
Federal ID No.
State Sales Tax No.
Date Business Started
Property owned or leased?
Owned
Leased
IF LEASED LANDLORD INFO:
Name
Address
City
State
Zip Code
Phone
Fax
Email
OWNER OFFICER INFORMATION:
Owners/Officers
Address
City
State
Zip Code
Phone
Fax
Email
FINANCIAL INFORMATION:
Accounts Payable Contact
Phone
Email
Fax
Checking Acct.
Bank Name
Checking Acct.
Number
Bank Officer
Address
City
State
Zip Code
Phone
Fax
Email
D&B Rating
ASI No.
3 VENDORS CURRENTLY EXTENDING SIGNIFICANT ($1,000 + @N30) CREDIT:
Trade Reference
Acct. Rep.
Address
City
State
Zip Code
Phone
Fax
Email
Acct. No.
Yrs. of Assoc.
Trade Reference
Acct. Rep.
Address
City
State
Zip Code
Phone
Fax
Email
Acct. No.
Yrs. of Assoc.
Trade Reference
Acct. Rep.
Address
City
State
Zip Code
Phone
Fax
Email
Acct. No.
Yrs. of Assoc.
AGREEMENT:
By electronically submitting or signing this form I agree that MORE SALES, INC. may contact firms or persons named above for verification of facts and payments of funds. I also agree to pay late charges of 1.5% per month (18% Annual Rate) on any invoice over 30 days past due. The representations made here are correct to the best of my knowledge.
Signature
Title
Date
PLEASE COMPLETE BELOW IF APPLICANT IS A CORPORATION:
To induce MORE SALES, INC. to extend credit to the aforementioned corporation, the undersigned, who are the principals of said corporation, intending to be legally bound, hereby agree to guarantee performance and payment of all obligations of said corporation to MORE SALES, INC. as sureties, absolutely.
Signature
Date
Signature
Date