*Your cooperation in providing this confidential information will aid us in establishing your new or existing account and will help us to better serve your future business requirements. The application must be completed in full and verfied that all information provided is true.
Download a PDF version of this Credit Application. |
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| State Tax ID#: |
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| Are purchases Tax Exempt? |
Yes
No |
If yes, please supply a copy of your State Tax Certificate by fax it to (952) 448-1679 |
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| Your Olsen Tool Representative: |
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| COMPANY INFORMATION |
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Company Name:
(Please include all trade names) |
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| Phone: |
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| E-mail: |
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| Address: (Line 1) |
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| Address: (Line 2) |
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| City: |
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| State: |
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| Zip Code: |
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| Type of Business: |
Corporation
Partnership
Sole Proprietorship |
| Years in Business: |
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Previous Address: (Within Past 3 Years)
Example
1212 Max Road
Suite 101
Cali, CA 55555-1212 |
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List principal account holders of your company.
Format: Name, Title, Home Address, City, State, Zip Code, Phone |
| Name(s) of principals: 1st |
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| Name(s) of principals: 2nd: |
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| Name(s) of principals: 3rd |
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| Name of Accounts Payable Manager: |
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| Are any of your affiliated companies currently doing business with us under any other name? |
Yes
No |
| If yes, under what name? |
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| BANK INFORMATION |
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| Bank Name: |
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| Contact Person: |
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| Phone: |
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| Bank Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Checking Account # |
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| Savings Account # |
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| Loan # |
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| TRADE REFERENCES |
(Please give complete name, address and phone number) |
| #1 |
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| Business Name: |
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| Account Number: |
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| Contact Person: |
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| Volume in Business Annually: |
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| Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Phone: |
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| Fax: |
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| #2 |
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| Business Name: |
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| Account Number: |
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| Contact Person: |
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| Volume in Business Annually: |
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| Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Phone: |
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| Fax: |
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| #3 |
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| Business Name: |
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| Account Number: |
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| Contact Person: |
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| Volume in Business Annually: |
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| Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Phone: |
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| Fax: |
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| Please estimate your monthly credit requirements from our firm: |
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| Please list authorized purchase employees (Name, Title) One per line. |
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| While your credit is being reviewed, do you prefer immediate orders to be delivered on a C.O.D. basis? |
Yes
No |
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Agree to terms |
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