Approved

By

Denied

By

Reason

Date

Monitor Amt:

Customer No:

Sales Rep Code:

For Internal Use Only

 

7535 Railroad Avenue

Hanover, Maryland 21076-3141

Phone: 1-888-766-4242

Credit Fax: 410-689-1854

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APPLICATION FOR BUSINESS CREDIT

 

Date­­­­  

Business Type        o Corp - State of Inc                             o Sole Proprietor             o Partnership          o LLC       oOther ­­­­­­­­­­­­

Customer’s Full Legal Business Name or Individual Name

D/B/A  or  T/A

Street Address

City/State/Zip   

County

Mailing Address                                                                                                                                                                      o same as above

City/State/Zip

Office Phone    

Office Fax

Years in Business

Type of Products/Services you provide

Resident Agent

Federal ID#

State Contractors License#

Line of Credit Requested:

Corporate Office Location:    Name

                                                                 

Address

 

Phone#/Fax#                                                                      

 

                                                                                                               

 

 

LIST OF PRINCIPALS       Please list the names and phone number of all Officers, Partners, Proprietors, Owner, Members below.

                    Name                                                        Title                                             Phone#                                                 SSN#

1.

2.

3.

4.

Has any of the companies or individuals listed above ever been a debtor in a bankruptcy proceeding?

Has any judgment ever been entered against any of the companies or individuals listed above?

Are there any legal actions or arbitrations pending against any companies or individuals listed above?

Bonding Agent: Name     

      Phone#

Ext#

Fax#

Person to contact regarding invoices:

Do you desire any special billing requirements? o  Yes   o No            If Yes, please specify

 

Note: We will try to accommodate your needs but cannot always guaranty these arrangements due to time and or data processing constraints.

TRADE REFERENCES

You must list at least FOUR references with whom you have traded with in the last year. • Do NOT list utilities, overnight mail, credit card companies, or your affiliate companies. • Complete all the information requested below, INCLUDING THE FAX NUMBER.

Company Name

 

City/State

Phone#

FAX#

Company Name

 

City/State

Phone#

FAX#

Company Name

 

City/State

 

Phone#

 

FAX#

 

Company Name

 

City/State

 

Phone#

 

FAX#

 

 

BANK REFERENCES

Bank Name

 

 

City/State

 

 

Phone#

 

 

Contact                                                                          

 

 

Account Type

Account Number

 

TERMS AND CONDITIONS OF CREDIT

 

 

·        Payment is due net-30 days from the invoice date. However, in the event that an account Customer elects to pay on their account with a credit card the payment is due on receipt of material. Payments must be made from invoices, not statements. A finance charge of 1% per month will be charged on past due accounts. A $35.00 return check fee will be charged each time a check is returned from the bank.

 

·        Sales taxes are charged on all materials and rentals to all Customers unless a tax exempt certificate is on file at Aggregate Transport Corp (AGG)/The Stone Store’s (SS) office. Waiting time will be charged on all job sites after the first 15 minutes. Charges are then based on 15 minute increments. Minimum haul policy: haul rates are based on full truck load volumes only, partial load deliveries will be invoiced at the full truck load rate (22 tons); the full truck load rate includes all geographical areas.

 

·        Any modifications to these Terms and Conditions must be agreed to in writing by AGG/SS. Customer hereby authorizes AGG/SS to contact bank and trade references at any time for the purposes of credit extension and review of credit account. AGG/SS reserves the right to suspend, limit, or change credit terms at any time. If requested by AGG/SS, Customer agrees to provide any project and bond information within 5 days of request.

 

·        If Customer notices an error on its invoice, Customer must contact AGG/SS in writing within 5 days of the invoice date, stating the invoice number, amount of error, the reason for error, and provide any documentation to support Customer’s claim. Invoice charges will be considered valid if no written dispute is on file. In the event of a pricing dispute, only the AGG/SS quotes will be honored. WE DO NOT HONOR VERBAL PRICES. Purchase orders, and other documents do not replace, modify, or void these credit terms at any time unless authorized in writing by AGG/SS. If Customer requires the use of purchase orders and/or reference numbers we must have a hard copy. The hard copy must include your authorizing signature. We cannot ship material without a copy of your required purchase order and/or reference number. It is Customer’s responsibility to fax and call in the appropriate purchase order and/or reference number. If Customer requires these numbers on invoices, make sure Customer’s purchasing staff is aware of our policies. In the event of a conflict between these Terms and Conditions of Credit and any other documents, these Terms and Conditions of Credit will prevail. Discrepancies in quantity or quality of any material delivered must be called into our dispatch department on the date of delivery. AGG/SS is not responsible for damages due to weather conditions, poor job site conditions, and Customer’s failure or delay in notifying AGG/SS of any discrepancies of delivered materials or services.

 

·        All shipments to any one project shall be considered part of a specific continuing contract related to a single project. Any lien and bond waivers will be effective only to the extent of the total dollar amounts actually received, deposited, and cleared from the bank on which the check is drawn. AGG/SS reserves the right to suspend or refuse orders due to non-payment of past due balances without prior notice until payment in full is made or any dispute is resolved. AGG/SS shall not, in any event, be responsible for any damages due to delays in supply of any labor or materials. For sums justly due and undisputed amounts, the Customer agrees and understands that Customer shall not set off, deduct, or charge back any claims it has or may have against this account, that Customer has no other interest or property right in or to the funds to be paid to AGG/SS, and irrevocably assigns to AGG/SS its accounts receivable from each project owner/contractor.

 

·        Estimating: Any measurements, material take offs, and/or material quantity estimates given by AGG/SS are NOT to be considered exact and are to be used for general estimating purposes only.  Customer assumes the risk of any overages or shortages created by utilizing our general estimates and any such overages or shortages