Wallguard.com Credit Application

Credit Application for Net 30 Day Terms

The fields marked with * are mandatory

We gladly accept Purchase Orders for our wall protection products from military, educational or governmental agencies.

Wallguard.com Payment Terms are as follows:

Step/Order #1: 100% Prepay, Credit Card, Check In Advance, Wire Transfer, Letter of Credit
Step/Order #2: 100% NET 30 Days (up to approved credit limit) Purchase Order Required

Contact information

Name of Firm/Facility:

Ownership:

Street Address:

City:

State:

Phone:

Fax:

Email:

Tax exempt : no yes

Tax ID# (please send valid certificate):

Type of Business:

Year established:

Names of Principles:

Check one: Corporation Partnership other

if other, please specify:

Parent company (if any):

Parent address:

Banking Information

Bank name:

Account number:

Contact name:

Phone:

Bank street address:

City/State/Zip:

References

Trade Reference #1:

Phone:

Fax:

City/State/Zip:

Trade Reference #2:

Phone:

Fax:

City/State/Zip:

Trade Refence #3:

Phone:

Fax:

City/State/Zip:

Authorizing name:

Title:

Credit Application for Net 30 Day Terms

We gladly accept Purchase Orders for our wall protection products from military, educational or governmental agencies.

Wallguard.com Payment Terms are as follows:

Contact information

Banking Information

References

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