Credit Application
Account Name
Number of Vehicles
Address
Phone Number
Fax Number
City
State
Zip
Contact Name
Credit Line Request
D & B Rated
Years In Business
Tax Exempt #
(Please supply form)
Corporation - Date Incorporated
Individual
Parent Company
Principals
Full Name:
Address:
Phone:
Full Name:
Address:
Phone:
Bank Name
Account #
Address
Contact Name
Phone Number
Trade References
Full Name:
Address:
Phone:
Full Name:
Address:
Phone:
Full Name:
Address:
Phone:
* IN ORDER TO INDUCE N.T.S. INC. TO EXTEND CREDIT TO CUSTOMER AND DELIVER GOODS TO CUSTOMER ON CREDIT, CUSTOMER AGREES THAT ALL OBLIGATIONS ARISING FROM THE EXTENSION OF CREDIT BY N.T.S. INC., SHALL BE GOVERNED BY NEW JERSEY STATE LAW AND CUSTOMER FURTHER AGREES THAT BY SUBMITTING THIS CREDIT APPLICATION CUSTOMER CONSENTS TO SUBMIT GENERALLY TO THE JURISDICTION OF THE COURTS PF THE STATE OF NEW JERSEY. CUSTOMER ALSO CONSENTS TO THE RELEASE OF ANY CREDIT INFORMATION TO N.T.S, INC.
Please Note:
All applications for credit require a signed application, which will be mailed to you
After receiving this on line pre-application form. Thank-you.
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