Apply for Credit

Edward Joy Electric, LLC Credit Application

Application for clients/customers seeking to open an account.

Business Name(Required)

Date of Application(Required)

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Address (if different)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Fax

Email(Required)

Type of Business

Number of Years Established

Type of Entity(Required)

Tax Exempt(Required)

Yes

If YES please attach Certificate

Max. file size: 50 MB.

Federal Tax ID #

Estimated Monthly Purchases(Required)

Principals

Owner/Partner(Required)

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Social Security #(Required)

Date of Birth(Required)

Corporate Officers

President Name

President Address

Vice President Name

Vice President Address

Secretary Name

Secretary Address

Treasurer Name

Treasurer Address

Accounts Payable Contact(Required)

Accounts Payable Email(Required)

Accounts Payable Phone(Required)

Accounts Payable Fax

Bank References

Bank Reference #1(Required)

Type of Account #1(Required)

Checking

Savings

Loan

Bank Reference #2(Required)

Type of Account #2(Required)

Checking

Savings

Loan

Bank Contact Person Name(Required)

Bank Contact Phone(Required)

Principal Suppliers

Principle Supplier 1

Name

Fax

Fax Numbers of the Credit Dept Appreciated (If Known)

Address

Phone

Principle Supplier 2

Name

Fax

Fax Numbers of the Credit Dept Appreciated (If Known)

Address

Phone

Principle Supplier 3

Name

Fax

Fax Numbers of the Credit Dept Appreciated (If Known)

Address

Phone

Signature(Required)

Date(Required)

Comments

This field is for validation purposes and should be left unchanged.

38769

Edward Joy Electric, LLC Credit Application

Principals

Corporate Officers

Bank References

Principal Suppliers

Get Started

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Follow Us On

Quick Links

Opening Hours

Showroom

Supply Counter

Contact Details

Apply for Credit

Edward Joy Electric, LLC Credit Application

Principals

Corporate Officers

Bank References

Principal Suppliers

Get Started

Newsletter Sign Up

Newsletter Form

Follow Us On

Quick Links

Opening Hours

Showroom

Supply Counter

Contact Details