AppliCAnt informAtion
Legal Name of Applicant
Trade Name
Address
(Street, City, Province, Country
and Postal Code)
ContACt informAtion
Mr. Ms. Contact Name
Title
Telephone Fax
E-mail Address
Website
Your Business
Legal Status
Incorporated Sole Proprietorship Partnership
Other Please specify:
Place of Incorporation / Registration
Ownership / Parent Company
Nature of Business
Type of Business
Manufacturer Wholesaler Trading House Contractor Services
Other Please specify:
Year Established Number of Employees
Annual Sales
Brief description of type of products that you will purchase:
1
2
3
The undersigned is applying for credit with
(the “Company”) and agrees to abide by the terms and conditions of the Company’s standard contract.
TRUX International Inc.
Credit Application
Credit informAtion
Amount of Credit Requested $
Have you or any of your afliates ever had credit with us before or purchased from us before?
Yes No If yes, under what name?
Name and title of persons authorized to act on your behalf:
BAnking informAtion
Name of Your Bank
Contact Name
Address
(Street, City, Province, Country
and Postal Code)
Telephone Fax
E-mail Address
trAde referenCes
Company Name
Contact Name
Address
(Street, City, Province, Country
and Postal Code)
Telephone Fax
E-mail Address
Company Name
Contact Name
Address
(Street, City, Province, Country
and Postal Code)
Telephone Fax
E-mail Address
Company Name
Contact Name
Address
(Street, City, Province, Country
and Postal Code)
Telephone Fax
E-mail Address
4
5
6
Completed By
Date
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signature
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