U.S. Trading Company Business Application

       
Company Name: * Date: 5/23/2017
Address: * Contact Person: *
City: * Phone: *
State: * Fax:
Postal Code: * Mobile:
SSN or Federal Tax ID: *
(Ex. SSN: 555-55-5555; or EIN: 11-1111111)
Email:
Business Entity:
Year Business Established: * Type of Business: *

Trade Reference

Reference #1
Name: * Contact Person: *
Address: * Phone: *
City: * Fax:
State: *  
Postal Code: *  
Reference #2
Name: * Contact Person: *
Address: * Phone: *
City: * Fax:
State: *  
Postal Code: *  
Reference #3
Name: * Contact Person: *
Address: * Phone: *
City: * Fax:
State: *  
Postal Code: *  
Bank Reference
Name of Bank: * Contact Person: *
Address: * Account Number: *
City: * Phone: *
State: * Fax:
Postal Code:



*  
We declare that the above information is true, correct and complete and is given to induce the Company to extend credit. We authorize the Company to make such credit investigation as the Company sees fit, including contacting the above trade references and banks and obtaining credit reports. We authorize all trade references, banks and credit reporting agencies to disclose to the Company any and all information concerning the financial and credit history of my company and myself. I have read the terms and conditions stated below and agree to all of those terms and conditions.



Individual Personal Guarantee for Extending Business Credit



I, (Name of Guarantor) Residing at (Address) for and in consideration of your extending credit at my request to (guarantor's company) (hereinafter referred to as the "company"), of which I am (title) , hereby personally guarantee to you the payment to U.S. TRADING COMPANY, in the state of California any obligation due by the company. I hereby agree to bind myself to pay you on demand any sum which may become due to you by the company whenever the company shall fail to pay the same. It is understood that this guarantee shall be a continuing and irrevocable guarantee and indemnity for such indebtedness of the company. I do hereby waive notice default, non-payment and notice hereof and consent to any modification of renewal of credit agreement herby guarantee.

Company Reseller ID Number:

* In the State of *
Social Security Number:

*
(Ex. SSN: 555-55-5555)
In the State of *
Confirm SSN:

*
(Ex. SSN: 555-55-5555)
 
Drivers License Number:

* In the State of *
Confirm DL Number:

*  

Electronic Signature

First Name:

* Wildcard SSL
Last Name:

*
Title:

*
SSN or Tax ID Number:

*
(Ex. SSN: 555-55-5555)
Date:



5/23/2017
Email Confirmation To: *
Confirm Email: *
  After clicking submit, you will receive an email confirmation of your application submission. One of our represenatives will contact you for additional information.