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Credit Account Application Form

AppliancesConnection
1870 Bath Ave., Brooklyn, NY 11214
FAX 800-920-4633

CREDIT APPLICATION FOR A BUSINESS ACCOUNT

    BUSINESS CONTACT INFORMATION
    Legal Business Name*
    Company Name*
    Phone*
    Fax
    E-mail*
    Address*
    Address 2
    City/Town*
    State*
    ZIP/Postal Code*
    Business Type*
    Date Business Commenced*
    PRINCIPAL INFORMATION
    Name*
    Title*
    Address*
    Address 2
    City/Town*
    State*
    ZIP/Postal Code*
    Phone*
    Fax
    E-mail*
    +
    BUSINESS AND CREDIT INFORMATION
    Primary Business Address*
    Address 2
    City/Town*
    State*
    ZIP/Postal Code*
    How Long at Current Address?
    Years*
    Months*
    Phone*
    Fax
    E-mail*
    Bank - Name*
    Bank - Phone*
    Bank - Address*
    Bank - Address 2
    Bank - City/Town*
    Bank - State*
    Bank - ZIP/Postal Code*
    Type of Account*
    Account Number*
    BUSINESS/TRADE REFERENCES
    Company Name*
    Account Number*
    Address*
    Address 2
    City/Town*
    State*
    ZIP/Postal Code*
    Phone*
    Fax
    E-mail*
    +
    AGREEMENT

    1. All invoices are to be paid 30 days from the date of the invoice.
    2. Claims arising from invoices must be made within seven working days.
    3. By submitting this application, you authorize 1 Stop Electronics Center, Inc. to make inquiries into the banking and business/trade references that you have supplied.
    4. In consideration of, and as an inducement, for 1 Stop Electronics Center, Inc. to extend credit to the below named part, the undersigned jointly, severally and unconditionally guarantee to 1 Stop Electronics Center, Inc. the prompt and full payment when due, of each and every claim hereinafter due 1 Stop Electronics Center, Inc. from the below named party. The undersigned hereby expressly waives all notices that they may otherwise be entitled and demand for payment under this guarantee. In the event of default, 1 Stop Electronics Center, Inc. may seek payment directly from the undersigned without need to proceed against the Company. The undersigned further agree to pay all reasonable legal fees and costs of collecting on such purchases or on this guaranty. No additional notice to the undersigned or his/her company is required including proof of mailing and said amount shall forthwith be due and payable in full. Failure to assert the notices required to the debtor shall not be deemed a waiver thereof.

    SIGNATURE
    Company*
    Title*
    Principal Name(Printed)*
    Date*
    Full Name Signature:*

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