User manual NOVA CONTROLS CREDITAPP

[. . . ] [. . . ] Address, City, State, Zip Telephone Fax (required) Banking References (Main Office and/or Branch) Name Bank Account #: Credit Line Requested (required): $___________________ Estimated Monthly Purchases:$____________________ Address, City, State, Zip Telephone Fax (required) Terms of Sale: Upon granting credit, payment is due within 30 days of invoice date. HYDRO SYSTEMS reserves the right to collect reasonable legal and filing fees, court costs and any other expenses that they may incur in order to collect an account that must be placed with a third party. I authorize HYDRO SYSTEMS to check our credit status with any of the references listed on this application. *A REQUIRED SALES TAX EXEMPTION CERTIFICATE IS TO BE ATTACHED. * Signature of responsible party (required): _________________________________________________Title:___________________________________________ PLEASE PRINT NAME:_____________________________ Date:_________________________________________ FOR HYDRO TO PROCESS YOUR APPLICATION PROMPTLY, PLEASE COMPLETE ENTIRE FORM, RETURN TO ACCOUNTING HYDRO SYSTEMS FOR INTERNAL USE ONLY (once approval has been confirmed, we will notify you by returning this application back to you by fax, with this section completed) TERM/LINE OF CREDIT APPROVED:____________________________ APPROVED BY:______________________________________ DATE:_______________________ ACCT. [. . . ] [. . . ]