Total Lock and Security
Commercial Door Experts!

Commercial Credit Application
for in-house credit accounts...

Company Information

Company Name: Billing Address: City, State Zip: Phone Number: Fax Number: E-mail Address: Shipping Address: City, State Zip: Accounts Payable Contact: Are Purchase Orders Required: Yes   No Type of Business: CorporationPartnershipProprietorshipGovernmentEducationNon-Profit Date of Corporation: Is Your Company Tax Exempt? Yes   No *  If yes, a copy of your exemption form is required State Tax ID #: State Retail Certificate #: Federal ID #:

Trade References

Company Name: Address: City, State Zip: Phone Number: Account Number: Company Name: Address: City, State Zip: Phone Number: Account Number: Company Name: Address: City, State Zip: Phone Number: Account Number:

Bank References

Bank Name: Phone Number: Account Number: Bank Name: Phone Number: Account Number:

Principles (Owners / Officers)

Name: Title: Address: Phone: Name: Title: Address: Phone:

I understand and agree that all invoices are due on a net 15 day basis. I understand all invoices paid after 30 days will be assessed a finance charge of 1.5% monthly. Customers' accounts which are not paid within 60 days of the invoice date will be placed on a C.O.D. Customers' accounts which are not paid within 90 days of the invoice date are subject to having the account placed in the hands of an outside agent for collection and will be responsible for any fees incurred during the collection process. We also understand and agree that Total Lock & Security has our permission to conduct a credit investigation including but not limited to bank and trade references and credit bureaus. By clicking the SUBMIT  button below and submitting this credit application, you herby state that you are a legal owner, partner, officer or authorized agent of the company applying for credit and hereby state that you understand and agree to the terms posted herein.

Completed by