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 If you prefer to complete the application by hand and fax it to us, you will need Adobe Acrobat to view the Credit Application.
 

Go to our online credit application.
BILLING INFORMATION
   
Company Name:                 Telephone Number:                
Attention:                 Fax Number:                
Street Address:                 Bookkeeper:                
Mailing Address:                 Date Business Established:                
City/State/Zip:                  
   
PRINCIPAL OWNERS, OFFICERS OR STOCKHOLDERS

Last Name, First, Middle

  

                    Position/Title

 

 
 
 
 
     
Proprietorship    
Partnership    
Corporation     State:    Tax I.D.: 

*Subsidiary

   

*Branch Office

   
     
*Parent Company Name/Home Office: 
Address: 
City/State/Zip:     
Telephone Number:     
Contact Person:     
     
To help us determine your credit limit, please answer the following questions:
What is the high credit you desire?     
Has the owner or business ever purchased goods from us under any other name? 
If yes, what name and address?
Has the business owner filed for bankruptcy in the last seven years? 
If yes, what name and address?
     
REFERENCES  (*fax number must be supplied for trade references)
Bank Name:    Supplier: 
Address:   Address:
City/State/Zip:    City/State/Zip: 
Telephone Number:    Telephone Number: 
Checking Account Number:    *Fax Number: 
     
Supplier:    Supplier: 
Address:   Address:
City/State/Zip:    City/State/Zip: 
Telephone Number:    Telephone Number: 
*Fax Number:    *Fax Number: 
     
ATTENTION:  Accounts Payable
Does your Accounts Payable Department have special needs?  Please complete any information below to help us handle your billing procedures in the manner that you would like.
     
CREDIT POLICY

PAYMENT TERMS:  1% 10 Net 30 Days of invoice date with approved credit, Check With Order.  C.O.D. without approved credit on stock items only.

INVOICING AND STATEMENTS:  The original invoice will be mailed the day of shipment.  A statement will be issued if there is a balance outstanding beyond those terms.  A $15.00 service charge will be assessed for any returned checks.

PAYMENTS:  Please return the remittance copy with your check to the mailing address indicated on your statement.

Note:  Please be advised that if payments are not received in a timely manner, you will be subject to having all future orders held and your line of credit removed. If your account demands any type of legal action, you will be responsible for all legal fees generated.

CREDIT DEPARTMENT:  The Credit Department is willing to work with you if problems arise.  Communication with us will avoid any misunderstanding which could impair your credit with us.  Questions about your credit terms may be addressed to us at any time.

In consideration of extending credit, I authorize Bell Containers to contact the above suppliers for credit information.  I guarantee all payment within the agreed to terms.

Please allow one week for reference responses.  You will be notified by mail only if your credit application was not approved.

   I accept the terms of the credit policy stated above.

By clicking the submit button you agree to the above noted credit policy.