SOUND JANITORIAL SUPPLY Please complete the following application in full. All information supplied in or obtained through this application, will be held as confidential. * Required Fields * BUSINESS NAME *BILL TO: SHIP TO (if different) *Address Address City State Zip City State Zip * BUSINESS PHONE BUSINESS FAX BUSINESS E-MAIL TAX NUMBER DUNS NUMBER PROPRIETORSHIP CORPORATION PARTNERSHIP OWNER/PARTNERS/OR OFFICERS Name Name Social Security Number Social Security Number TRADE REFERENCES (Minimum 3) *Name *Name *Address *Address *City *State *Zip *City *State *Zip *Phone *Phone *Account Number *Account Number *Name Name *Address Address *City *State *Zip City State Zip *Phone Phone *Account Number Account Number BANK REFERENCES (Minimum 1) *Bank Name Bank Name *Address Address *City *State *Zip City State Zip *Account Number Account Number *Contact Contact *Phone Number Phone Number * By checking this box, I hereby acknowledge that the above information is true and correct and hereby authorize the release of any credit information from the above named references pertaining to my/our credit and financial responsibilities to whom this application is made. * By checking this box, I hereby authorize Sound Janitorial Supply to make inquires as are necessary to obtain credit information. * All due dates on invoices are calculated from the invoice date. By checking this box, I (the applicant) agrees that payments will be received at our bank on or before the due date. * By checking this box, I agree to pay all invoices according to the prices established by Sound Janitorial Supply as stated on the invoices. * By checking this box, I agree to pay the maximum interest rate allowed under applicable state law on all past due invoices. * By checking this box, I understand that all merchandise returns or deductions from payment must be pre-authorized by Sound Janitorial Supply in writing. *Title *Date Close Window to Return to Home Page.