Credit Application

Credit Application for Unlimited MFG Solutions, LLC.

COMPANY NAME
ADDRESS
CITY /STATE / ZIP CODE
COUNTRY
PRIMARY CONTACT	NAME	PHONE NUMBER	E-MAIL
NAME OF PRINCIPAL
PURCHASING MNG.
MAINTENACE MNG.
ACCOUNTS PAYABLE MNG.

 

TYPE OF BUSINESS

CORP:

PARTNERSHIP:

OTHER:

 

BANK REFERENCE INFO

NAME
STREET ADDRESS
CITY, STATE, ZIP
BANK CONTACT
SALES TAX EXEMPTION CERTIFICATE NUMBER
FEDERAL ID NUMBER

 

CREDIT CARD INFORMATION

TYPE OF CARD
CARD NUMBER
NAME ON CARD
SECURITY CODE		(FRONT OF CARD ON AMERICAN EXPRESS 4 DIGIT)
BILLING ADDRESS ON CARD

 

YOUR TRADE REFERENCES

COMPANY NAME	CONTACT NAME	PHONE NUMBER	EMAIL
1.
2.
3.

 

AUTHORIZED SIGNATURE
PRINT NAME

 

• Payments can be made by pay pal, credit card, certified check or wire transfer. Credit Card payments will not be process unless approved by Vendor in writing. Company information will be held in the strictest confidence, and reviewed only by our financial department. All invoices are due in full on receipt of invoice. Invoices more than 10 days past due are subject to finance charges. In the event of legal or collection actions I/we agree to pay costs of collecting past due amounts including attorney’s fees and court cost.

 

Please send payments to the below address:

Unlimited Manufacturing Solutions, LLC.

2180 Satellite Blvd. Suite 400

Duluth, GA 30024

US & Canada: 888-677-7127

Puerto Rico: 787-338-0270

Email: sales@umsrepair.com