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COMPANY CREDIT APPLICATION
Legal Company Name: __________________________________________________Phone: ________________________________
Address: _____________________________________________ Fax: _____________________ Email: _______________________
City, State, and Zip Code: _______________________________________________________________Year Est. _______________
Corporation _________ Partnership _________ Sole Proprietor ________ D&B # _________________________________________
Federal ID # or Social Security #: _________________________________________ Tax Exempt #: __________________________
(Send form if applicable)
Parent Co. / Home Office: _______________________________________________ Invoices sent here? _______ Or Local? _______
Office/Owner: ________________________________________________________ Title: __________________________________
BANK REFERENCES
Bank Name: ___________________________________________________ Contact: ______________________________________
Phone #: _______________________________ Fax #: ___________________________ Email: _____________________________
Checking Acct. # ________________________________________ Loan Acct. #: _________________________________________
REFERENCES
Company Name: _______________________________________ Phone: _______________________ Fax: ____________________
Company Name: _______________________________________ Phone: _______________________ Fax: ____________________
Company Name: _______________________________________ Phone: _______________________ Fax: ____________________
Company Name: _______________________________________ Phone: _______________________ Fax: ____________________
OTHER INFORMATION
Do you require monthly statements? ____ yes ____ no
Do you require Purchase Orders? ____ yes ____no
Do you access “The Web” to search for products and information? ____ yes _____no
Do you make purchases from “The Web”? ____ yes ____no
Does your company have a web site? __________________________________________________
Address __________________________________________________
TERMS AND CONDITIONS
Erickson’s Fork Lifts, Inc. terms are Net 30 days. 1.5% interest is charged on all past due accounts. Accounts over 60 days are
automatically put on credit hold until past due amounts are paid in full. If the account is placed for collection, we reserve the right
to add reasonable attorney and/or collection fees and court costs.
We the undersigned give Erickson’s Fork Lifts, Inc. permission to investigate all established creditors and banks references to
determine credit worthiness and authorize release of aforementioned information. I understand the authorization may be copied to
serve as an original.
Authorized Signature: _______________________________________ Title: _________________________
Print Name: _______________________________________________ Date: _________________________
Guaranty: The undersigned, jointly and severally, hereby unconditionally guaranty and warrant the full and complete payment and
performance of all obligations of applicant arising from the agreement or any other agreement or sale and the extension of credit to
applicant and any renewals, notifications, extensions and supplements, thereof, without deduction by reason of set off, recoupment,
defense or counterclaim. Notice of acceptance thereof and all notices of any kind, including but not limited to notices of default,
demand, extensions, modifications and compromises, are hereby waived. The liability of each of the undersigned is direct and
unconditional and may be enforced without requiring Erickson’s Fork Lifts, Inc. first to resort to any other right, remedy or security.
Nothing shall discharge or satisfy our liability hereunder except the full performance and payment of all obligations of applicant to
Erickson’s Fork Lifts, Inc. This credit application and agreement has been read by the undersigned guarantor(s) and is hereby ratified
and confirmed.
________________________________________ _______________________________________
Guarantor Signature Guarantor Signature
_________________________________________ ________________________________________
Print Name Print Name
_________________________________________ ________________________________________
Address Address
_________________________________________ _________________________________________
City, State and Zip Code City, State and Zip Code | 
