Owen Credit Application

Business Information

Business Name *

DBA (Doing Business As)

Tax ID # *

Business Phone *

Fax #

Email Address *

Business Type *

Select type... ▾

County

Month and Year Business Started *

Years in Business *

Accounts Payable Contact

Contact Name *

Phone *

Email *

Invoice Email *

Parent Company / Headquarters

If division or branch, list headquarters or parent company

Company Name

Phone Number

Address

City

State

ZIP Code

Explosive License

Do you have an explosive license? *

Select... ▾

License Number

Expiration Date

Business Owners

Owner 1 Name *

Ownership %

Owner 2 Name

Ownership %

Owner 3 Name

Ownership %

Bank Information

Name of Bank *

Phone Number *

Address *

City *

State *

ZIP Code *

Bank Officer *

Are you sales tax exempt? *

Select... ▾

If Yes, please attach a copy of your Sales Tax Exemption Certificate

Trade References

Reference 1

Reference Name *

Address *

City *

State *

ZIP Code *

Contact Person *

Phone Number *

Email *

Reference 2

Reference Name *

Address *

City *

State *

ZIP Code *

Contact Person *

Phone Number *

Email *

Reference 3

Reference Name *

Address *

City *

State *

ZIP Code *

Contact Person *

Phone Number *

Email *

Attachments

Attach supporting documents (e.g., Tax Exemption Certificate, W-9, Business License)

Allowed file types: PDF, PNG, JPG, JPEG, GIF, DOC, DOCX, XLS, XLSX, CSV, TXT. Max size: 10 MB per file, up to 10 files.

Select Files

Additional Notes

Authorized Signers

Person(s) authorized to sign on behalf of the business

Signature 1

Full Name *

Title *

Date *

Signature 2

Full Name

Title

Date

Credit Terms

Invoices shall be paid within 30 days of the date of the invoice. All accounts over 30 days are considered past due.

If the account balance goes beyond 60 days, it is considered delinquent and will automatically be placed on a C.O.D. basis.

Delinquent accounts relinquish their privilege to credit until satisfactory credit is restored.

Credit Agreement

I/we understand and agree that the information provided is for the purpose of obtaining merchandise on credit. I/we further understand and agree that all accounts or monies due to Owen Oil Tool shall be paid in accordance with the Credit Terms stated above and agree to pay all reasonable costs of collection, in addition to any court cost and/or attorney fees incurred on delinquent accounts. I/we authorize investigation of all credit references listed.

By checking this box, the undersigned states that they have read and understood the Company terms and conditions that were provided with this credit application.

Click Owen Oil Tools - General Terms & Conditions.

Business Information

Mailing Address

Shipping Address (If different from mailing address)

Accounts Payable Contact

Parent Company / Headquarters

Explosive License

Business Owners

Bank Information

Trade References

Reference 1

Reference 2

Reference 3

Attachments

Additional Notes

Authorized Signers

Signature 1

Signature 2

Credit Terms

Credit Agreement