Santoolz: Credit Application

Santoolz requires that all customers complete this credit application prior to placing any orders.
You may complete the following form online, or if you prefer you may download an application to complete and mail or fax it back to us.

"*Note: If filling out form below, all fields must be filled out below before submitting.

Download PDF Credit Application

Business Information
Business Name:

Address:

City:	State	Zip


Mailing Address: (if different)

City:	State	Zip


Phone	Fax

Type of Company	Years in Business

Contact Person	Title

Tax Exempt Number

Bank Reference

Bank Name:

Address:

City:	State	Zip

Contact Person	Title

Phone	Fax

Trade References

Please complete all three (3) trade references. including addresses and telephone numbers so that we may contact references for credit information effectively.

Business Name:

Address:

City:	State	Zip

Contact Person	Title

Phone	Fax

Type of Company	Years in Business

Account Number	Type

Business Name:

Address:

City:	State	Zip

Contact Person	Title

Phone	Fax

Type of Company	Years in Business

Account Number	Type

Business Name:

Address:

City:	State	Zip

Contact Person	Title

Phone	Fax

Type of Company	Years in Business

Account Number	Type

Will this account be used for re-sale purposes?

yes

if yes, we will require a copy of your company's Re-Sale Certificate.

Completion of this application in no way implies acceptance. Should an open account be granted, it is expressly understood that all invoices are to be paid in full within thirty (3) days of the original invoice date. It is agreed and understood that we grant permission to contact these references for confidential credit information, with the purpose of granting an open account terms with Santoolz, Inc.

I hereby attest that all information provided in this form is complete and accurate. By submitting this document I agree to all the previously stated terms