Credit

APPLY ONLINE

Street Address                                          City                                 State          Zip
           

Mailing Address                                                         Phone #
 

Federal Tax I.D #                              Sales Tax #
  

E-Mail Address

Type of Business

Corporation  Yes      No     If yes, please list:

Title                    Name                                        Address

President               

Vice President        

Secretary               

Treasurer               

Name                                                                           Social Security #
          

Home Address                                                              Phone #
          

Name                                                                           Social Security #
          

Home Address                                                              Phone #
          

Name                                                                           Social Security #
          

Home Address                                                              Phone
          

Name                                                                          Acct. #
          

Address                                                                       Phone #
          

Name                                                                          Acct. #
          

Address                                                                       Phone #
          

Name                                                                          Phone #
          

Address

Name                                                                          Phone #
          

Address

Name                                                                          Phone #
          

Address

Name                                                                          Phone #
          

Address

I/We herein make application to Bobco Metal for credit.  The information contained herein is true and complete in every respect.  I/We hereby authorize Bobco Metal to verify all information provided and to contact the individuals and companies referred to.  Furthermore, I/we hereby agree to pay all accounts and invoices in accordance with the terms of sale shown on such invoices and statements.  I/We also agree to pay a 1-1/2% per month service charge on all balances and/or amounts that are past due and further agree to pay any costs associated with the collection of outstanding debt to Bobco Metal including, but not limited to, attorney's fees, court, or any administrative costs deemed proper by the court.