Spokane, Spangle & Palouse Railway

CREDIT APPLICATION

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BILLING INFORMATION:

* Indicates required field

Application Type *

Company Name *

DBA *

Country *

Street Address *

street address Line 2 *

City *

State/Province *

Zip/Postal Code *

Phone Number *

Fax Number *

Company Web Address *

Accounts Payable Contact Name *

First

Last

Accounts Payable Contact Phone *

Business Type *

LLC *

Federal ID Number *

Are you Sales Tax Exempt? *

Sales Tax Resale Number *

State *

Please attach exemption certificate *

Max file size: 20MB

Purchase Order Required? *

How many years at current location? *

Have you ever filed bankruptcy? *

Have you received credit from this company before? *

Dun & Bradstreet Number *

BANK REFERENCE:

Bank Reference *

Attachment for Credit File *

Max file size: 20MB

COMPANY CREDIT REFERENCES (DO NOT LIST CREDIT CARD):

Company Credit References *

IT IS AGREED:

Purchaser agrees to abide by terms of Freight Tariff SSP 8001.
Purchaser will promptly notify Spokane, Spangle & Palouse Railway of any change in the undersigned's legal status.
Purchaser agrees to pay invoices due within the terms stated on the invoice. If invoices are not paid within terms extended, account will be placed on a cash basis until account is paid in full.
Purchaser agrees to pay costs of collection of any unpaid account, including reasonable attorney’s fees and costs incurred to effect collection, with or without suit, including preparation, filing and foreclosure of any liens.

By Clicking Here: *

I agree

I hereby agree to abide by foregoing terms that the above information is true and complete. Spokane, Spangle & Palouse Railway is authorized to contact credit references provided and to obtain any further credit information needed to substantiate credit requested.

CORPORATION

If you are a corporation the application must be signed by an officer of the corporation. He/She must sign on all four lines (company and individual).

Signed by: *

First

Last

Signature: *

Title *

Date: *

The Finance Department requires 48 hours to process this application. Failure to provide complete information may delay credit approval.

Submit

credit application

CREDIT APPLICATION

BILLING INFORMATION:

BANK REFERENCE:

COMPANY CREDIT REFERENCES (DO NOT LIST CREDIT CARD):

IT IS AGREED:

CORPORATION

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