Become A Customer Online Form

BUSINESS CREDIT APPLICATION (TO EXPEDITE PROCESSING, PLEASE COMPLETE IN FULL)

Line of Credit Requested $*
BUSINESS NAME: *
D/B/A:*
 / 
 / 
MAILING ADDRESS: *
PREVIOUS OILCO. _*
PHONE # :*
-

FEDERAL TAX I.D. NUMBER*
PHONE:*
-
CELL:
-
FAX:
-
E-MAIL:*
TYPE OF BUSINESS:*
DATE:*
 / 
 / 
OWNERSHIP ( CHECK ONE):*
PRINCIPAL NAME: (1)*
PRINCIPAL TITLE (1)*
PRINCIPAL SS# (1)*
PRINCIPAL HOME ADDRESS (1)*
PRINCIPAL PHONE: (1)*
-



PRINCIPAL NAME: (2)*
PRINCIPAL TITLE: (2)*
PRINCIPAL SS#: (2)*
PRINCIPAL HOME ADDRESS: (2)*
PRINCIPAL PHONE: (2)*
-
BANK REFERENCE (CHECK ONE): *
BANK NAME: (1)*
BANK ADDRESS: (1)*
BANK (ACCT #): (1)*
BANK CONTACT : (1)*

BANK NAME: (2)*
BANK ADDRESS: (2)*
BANK (ACCT #): (2)*
BANK CONTACT : (2)*

TRADE REFERENCES: (Please provide accurate fax numbers & inform your references that we will be contacting them.)

1. NAME:*
1. PHONE:*
-
1. FAX:
-

2. NAME:*
2. PHONE:*
-
2. FAX:
-

SPENCER OIL COMPANY BUSINESS CREDIT APPLICATION

IS YOUR COMPANY LISTED IN DUN & BRADSTREET:*
CONTACT PERSON FOR ACCOUNTS PAYABLE:*
PRODUCTS TO BE PURCHASED:*
SALES TAX EXEMPTION NO.*

SALES TAX WILL BE CHARGED ON ALL PURCHASES UNLESS WE HAVE A SIGNED EXEMPTION CERTIFICATE ON FILE.

CREDIT TERMS:

ALL INVOICES $10,000.00 AND OVER ARE DUE WITHIN 10 DAYS OF THE DATE OF DELIVERY. ALL BALANCES LESS THAN $10,000.00 ARE DUE WITHIN 30 DAYS OF THE DATE OF DELIVERY (PENDING APPROVAL – TERMS MAY CHANGE PER CUSTOMER’S CREDIT HISTORY). BALANCES NOT PAID WITHIN THE CREDIT TERMS WILL BE CHARGED A FINANCE CHARGE OF 1 ½% (18% PER YEAR). BY SIGNING BELOW YOU UNDERSTAND AND ARE IN AGREEMENT WITH OUR CREDIT TERMS.

PERSONAL GUARANTEE

In consideration of credit being extended by Spencer Oil Company to the above named applicant for merchandise to be purchased whether applicant be an individual or individuals, a proprietorship, a partnership, a corporation, or other entity, the undersigned guarantor or guarantors each hereby contract and guarantee to Spencer Oil Company the faithful payment, when due, of all accounts of said applicant for the purchases made within five years next after the date of this application. The undersigned guarantor or guarantors each hereby expressly waive all notice of acceptance of this guarantee, notice of extension of credit to applicant, presentment, and demand for payment on applicant, protest and notice to undersigned guarantor or guarantors of dishonor or default by applicant or with respect to any security held by Spencer Oil Company, extension of time of payment to applicant, acceptance of partial payment or partial compromise, all other notices to which the undersigned guarantor or guarantors might otherwise be entitled and demand for payment under this guarantee. Absent written permission by creditor, this personal guarantee may not be revoked. 

The undersigned warrants that the information submitted is true and correct and authorizes the investigation of credit references listed.

SIGNATURE: (1)*
DATE: (1)*
 / 
 / 
TITLE (1)*