Credit Application
Please review the information needed to receive credit approval. Upon completing this form,
please print it and fax it to our Clarksburg location (Fax#: 301-972-5153) for credit review/approval.
Click Here for Printable Credit Application
Digging & Rigging, Inc.
6037 Buffalo Road
Mt. Airy, Maryland 21771
Phone: (301)972-4470 Fax: (301)972-5153
Application for Credit
Company Name: __________________________________________________________
Street Address:____________________________________________________________
City/State/Zip:_____________________________________________________________
Phone:________________________________ Fax:_______________________________
Full name(s) of owner(s):____________________________________________________
Name & Email Address for A/P Contact: _______________________________________
Type of buisness:___________________________ How many years in business?_______
How did you learn about our company? ________________________________________
Trade References
MUST HAVE 5 REFERENCES WITH FAX NUMBER
1. Name:__________________________________________________________________
Phone:__________________________________ Fax:______________________________
2. Name:__________________________________________________________________
Phone:__________________________________ Fax:______________________________
3. Name:__________________________________________________________________
Phone:__________________________________ Fax:______________________________
4. Name:__________________________________________________________________
Phone:__________________________________ Fax:______________________________
5. Name:__________________________________________________________________
Phone:__________________________________ Fax:______________________________
FAX NUMBERS MUST BE INCLUDED!
Should
you approve this application, I (we) the undersigned agree to pay for
all services performed according to your terms which are Net 10 E. O. M. i.e., all
charges are due and payable on the 10th of the month following service date.
Invoices not paid when due are subject to a finance charge of 1 ½% per month.
Digging and Rigging, Inc. is authorized to contact any references listed above
solely for the basis of granting credit.
Authorized Signature and Title:___________________________________________
Printed Name and Date:________________________________________________
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