A-ABBOT LOCKSMITH, INC. APPLICATION FOR CREDIT
Section I must be completed. Failure to do so will delay processing. You may complete section III or provide a credit information sheet. Authorized person must submit this application.
SECTION I: COMPANY INFORMATION:
This is a:
Corporation
Partnership
Sole Proprietorship
Years In Business:
1
2
3
4
5 to 10
11 to 20
21+
Company Name:
Telephone:
Fax:
Address:
City:
State:
Zip:
Billing Name (if applicable):
Telephone:
Fax:
Address:
City:
State:
Zip:
Trade or Nature of Business:
Person Responsible for Accounts Payable:
SECTION II: PRINCIPALS ARE (if sole proprietorship or partnership):
Name:
Position:
Social Security #:
Home Address:
City:
State:
Zip:
Name of Spouse:
Home Phone:
Rent or Own:
Rent
Own
Name:
Position:
Social Security #:
Home Address:
City:
State:
Zip:
Name of Spouse:
Home Phone:
Rent or Own:
Rent
Own
SECTION III: LOCAL SOUTHERN CALIFORNIA TRADE REFERENCES:
Company Name:
Telephone:
Fax:
Address:
City:
State:
Zip:
Company Name:
Telephone:
Fax:
Address:
City:
State:
Zip:
CREDIT TERMS:
I/We hereby state the foregoing is correct and agree to pay all credit extended in accordance with regular terms. All accounts are due and paypable Net 15 days. A service charge of 1 1/2% will be added to all accounts over 60 days. This charge will become a portion of the amount due. No Exceptions will be made.
By clicking this submit button you hereby give A-Abbot Locksmith the permission to process your application.
Enter Code Shown
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1920 E. Katella Suite A, Orange, CA 92867 (714)974-1800