FIRST CORP INTERNATIONAL, INC CREDIT APPLICATION

USA - CREDIT APPLICATION Your company name: ___________________________________________________________________________________________________________ Street Address and/or P.O. Box: _______________________________________________________________________________________________ City, State, Zip Code: ___________________________________________________________________________________________________________ Telephone: ___________________________________ Fax: ______________________________ Cell: _________________________________________ Type of Business: (Check one) ■
Corporation Partnership Proprietorship Start Date: ______________________ Name of President/Owner/Partner(s): _______________________________________________________________________________________ Amount of Credit Requested:__________________________________________________________________________________________________ Accounts Payable:___________________________________________________________________________
Contact
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Bank Reference:
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Bank Name Contact
Phone Fax/Email
REFERENCES THAT ARE NEEDED AND IMPORTANT FOR QUICK CREDIT APPROVAL! Ask your First Corp International, Inc. representative for an estimated cost of your Drilling Tool(s) requirements so that we may better serve you with a quick reply to your credit request. Please send only those credit references hat will monetarily support the amount of credit that you are requesting. It is important you include their fax numbers or email addresses or we will be unable to process your request for credit. 1. ________________________________________________________________________________________
Company Name
Contact
Phone
Email
2. ________________________________________________________________________________________
Company Name
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3. ________________________________________________________________________________________
Company Name
Contact
Phone
Email
I (we) understand that the information furnished you on this page is for the purpose of obtaining credit from your firm; that I am (we are) authorized by my (our) from accordingly; that all accounts shall be due and payable within thirty (30) days after the date of the invoice; that all accounts or monies due shall be payable in Fort Worth, Tarrant County, Texas; and that I am (we are) authorized to bind my (our) firm accordingly. I/WE AGREE TO PAY ALL COSTS INCURRED IN COLLECTON OF OUTSTANDING AMOUNTS DUE.
_____________________________________________________________________________ Signature ____________________________________________________ Title ____________________________________ Date FIRST CORP INTERNATIONAL, INC CREDIT APPLICATION 5000 Kaltenburn Rd Fort Worth, TX 76119 USA
Telephone: +1(817)-561-5040 Fax: +1(817)-561-5951
Website: www.ddibits.com Email: [email protected]