Request Open Account

Legal Name of Business

Type of Business

Mailing Address

Mailing City

Mailing Province

Mailing Postal Code

Shipping Address

Shipping City

Shipping Province

Shipping Postal Code

Shipping Phone Number

Shipping Fax Number

Shipping Email Address

Purchaser

Purchaser Name

Purchaser Phone Number

Purchaser Fax Number

Purchaser Email Address

Accounts Payable

AP Name

AP Phone Number

AP Fax Number

AP Email Address

EmailAddress2

Name of Principal/Owner

# of Employees

# of Years in Business

Annual Sales

Receive Statements/Invoices Via: (Required)

Email

Fax

Email Address or Fax Number
to Receive Statements/Invoices

Trade References (Please no banks)

(1) Company Name

(1) Phone Number

(1) Fax Number

(1) Email Address

(2) Company Name

(2) Phone Number

(2) Fax Number

(2) Email Address

(3) Company Name

(3) Phone Number

(3) Fax Number

(3) Email Address

TERMS AND CONDITIONS OF KBC TOOLS, INC. CREDIT AGREEMENT

This is an Application and Agreement for credit and shall apply to any and all credit extended by KBC Tools, Inc.
The credit applicant understands and agrees to the following terms of sale:

Applicant has authority to enter into this agreement and person signing, (if not applicant), has been authorized to execute this agreement for applicant.
Terms of sale are Net 30 Days. We agree to abide by the terms of sale and conditions of KBC Tools, Inc. KBC reserves the right to charge 1-1/2% per month on all past due accounts and KBC retains ownership of all products until paid for in full.
The information given in this Application and Agreement is warranted to be true and correct and given for the purpose of obtaining credit.

I have read and accept the Terms and Conditions.

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