Odorite Credit application Email Address of Applicant*Business Name*Business PhoneBusiness Mailing Address*Address Line 2*City*State*Zip Code*Contact Person*Contact Person Phone*DBA (if applicable)*Is the business’ shipping address different from mailing address?*YesNoHas the business been at another address?*YesNoType of Business*Date Established*Trade Reference 1 – Company Name*Reference 1 – Credit Limit*Reference 1 – Address*Reference 1 – Address Line 2*Reference 1 – City*Reference 1 – State*Reference 1 – Zip Code*Reference 1 – Contact Person*Reference 1 – Contact Person Phone*Reference 1 – Contact Person Email*Trade Reference 2 – Company Name*Reference 2 – Credit Limit*Reference 2 – Address*Reference 2 – Address Line 2*Reference 2 – City*Reference 2 – State*Reference 2 – Zip Code*Reference 2 – Contact Person*Reference 2 – Contact Person Phone*Reference 2 – Contact Person Email*Trade Reference 3 – Company Name*Reference 3 – Credit Limit*Reference 3 – Address*Reference 3 – Address Line 2*Reference 3 – City*Reference 3 – State*Reference 3 – Zip Code*Reference 3 – Contact Person*Reference 3 – Contact Person Phone*Reference 3 – Contact Person Email*Company Ownership*Sole ProprieterIncorporatedLimited Liability CompanyPrincipal Name*Principal Title*Principal Name*Principal Title*Principal Name*Principal Title*Bank Reference 1*Bank Reference 1 Contact Name*Bank Reference 1 Contact Name*Bank Reference 2*Bank Reference 2 Contact Number*Bank Reference 2 Contact Number*Bank Reference 3*Bank Reference 3 Contact Name*Bank Reference 3 Contact Number*Company – Number of Employees*Company – Est Annual Sales*Company – Sales Area*Has the firm or any of its Principals ever been bankrupt?*YesNoThe submitter as an inducement to grant credit to me or to my agent(s) agrees to the following terms: Our terms are Net 30 days from invoice date. An invoice is provided to you at pick-up or delivery, no statement will follow. Service charge compounded on overdue accounts at the rate of 1.5% per month.*I Agree To The Terms AboveI / We individually and where applicable, acknowledge acceptance of the above mentioned credit arrangement and guarantee the prompt payment of all sums personally, now or hereafter due from the above named individuals or business entity. I / We understand that the addition of a corporate title to signature does not alter the individual nature of the guarantee.*I Agree To The Terms AboveSubmit Please enable JavaScript in your browser to submit the form
