Fit Vehicle Parts Inc

Customer Information - Credit Application

Company Infomation

Registered Name of Business *

Tax ID Number

Division/Subsidiary, Name of Parent Company

In Business Since

Type of Business

Legal Form Under Which Business Operates *

Corporation

Partnership

Proprietorship

LLC

Phone *

Fax

Primary Contact *

Title *

Billing Address *

Shipping Address *

Parts Manager Contact / Email *

Accounts Payable Contact / Email *

Provide Trade References

1) Company Name *

Phone *

Accounts Receivable Contact

Fax/ Email *

Address *

Account Open Since

Credit Limit

Current Balance

2) Company Name *

Phone *

Accounts Receivable Contact

Fax/ Email *

Address *

Account Open Since

Credit Limit

Current Balance

3) Company Name *

Phone *

Accounts Receivable Contact

Fax/ Email *

Address *

Account Open Since

Credit Limit

Current Balance

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Customer Information - Credit Application

Company Infomation

Provide Trade References

Canada Office

Address

Phone

Email

CHICAGO WAREHOUSE

Address

Phone

Fax

Email

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