Credit Application

Save credit card and COD charges by establishing a Solid Conversion Inc, Open Account.

Here are two quick ways to open an account:

I understand that with this open account I will have 30 days to pay. A 2% discount is allowed on merchandise if payment is made within 10 days from date of delivery. Any invoice not paid in full within 30 days will be past due and subject to a finance charge of 1.5% (18% annually)

 
Inoicing Information
Company: Contact Name:
Billing Address: Telephone:
City: Fax Number:
State: E-mail:
Zip Code: Website:
Account No.:  

Business Information and References

Please list three (3) other companies with which you already have open account privileges. We will be contacting these businesses to evaluate your creditworthiness. By completing this form you are authorizing us to contact these businesses. All information gathered will remain confidential.

Company Name City State Zip Phone Fax
1
2
3

About Your Business

Type of Business: (select one) Corporation Partnership Proprietorship

 

Owner's Full Name SSN Title Ownership % Residence Address
1
2
3

Additional Information

Purchase Orders: Do you require the use of purchase order numbers? Yes No

Ship-To Address: (if different from Bill-to)

Address:

City:
State: Zip:

State Sales & Use Tax Exemption:

I hold a Valid Seller's Permit.
Contact "Support" for the appropriate form.

Please tell us a little about your business. This won't affect your credit application, but will help us better tailor our product line to fit our customers' needs.

Optional Information:

Nature of Business:
Number of Employees:
Number of Mechanics:
Year Business Started:

Legal Stuff:

I certify the the information I have provided is true and accurate. I understand that this is a legally binding credit application and that legal action may be taken if I have misrepresented myself or my credit history in any way.

Enter your name here to agree with the above statement:

 

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