BTS Credit Application

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	Credit Application for a Business Account Please complete the following questions. We will review the information and contact you once we have the account information ready. Thank you for contacting us. * denotes required field Contact Name:* Company Name:* Billing Address:* 99999 characters remaining Billing City:* Billing State:* BIlling Zip Code:* Billing Phone:* Billing Fax:* E-mail: * Shipping Address:* 99999 characters remaining Shipping City:* Shipping State:* Shipping Zip Code:* Shipping Phone:* Check One (Organized As):* Corporation Partnership Sole Proprietorship Non-profit LLC Trade Reference - Company Name 1:* Account Number 1: Phone Number 1:* Fax Number 1:* Trade References:Company Name 2:* Account Number 2 : Phone Number 2: Fax Number 2:* Trade References:Company Name 3:* Account Number 3: Phone Number 3:* Fax Number 3:* 1. Credit terms are net 30 days from the date of the invoice, C.O.D. without approved credit. * Accept: 2. If legal action is required for collection, we agree to pay reasonable fees resulting in such action.* Accept: 3. By submitting this application, you authorize Blasters Tool and Supply Co. Inc., to make inquiries into the banking and business/trade references that you have supplied.* Accept: Enter the code shown: