CREDIT APPLICATION
 
Please complete this application to apply for credit with Bass Tool. Our payment terms are Net 30 days. It usually takes 2-3 days to process. This varies and depends on how quickly your references respond. Please call our credit department if you have any questions. Someone will contact you when you account is open. THANK YOU.
 
 
Company Name:
 
Billing Address:
 
Billing City:
 
Billing State:
 
Billing Zip:
 
Ship to Address:
 
Ship to City:
 
Ship to State:
 
Ship to Zip:
 
Your Name:
 
Phone No:
 
Purchasing Contact:
 
Purchasing Email:
 
Payables Contact:
 
Payables Email:
 
Owners Name:
 
No. of yrs in business:
  
 
REFERENCES - PLEASE LIST AT LEAST 2 TOOL SUPPLIERS!
 
Ref #1 Name:
 
Ref #1 Address:
 
Ref #1 City:
 
Ref #1 State:
Ref #1 Zip:
 
Ref #1 Phone:
Ref #1 Fax:
 
Ref #2 Name:
 
Ref #2 Address:
 
Ref #2 City:
 
Ref #2
State:
Ref #2 Zip:
 
Ref #2 Phone:
Ref #2 Fax:
 
Ref #3 Name:
 
Ref #3 Address:
 
Ref #3 City:
 
Ref #3 State:
Ref#3 Zip :
 
Ref #3 Phone:
Ref #3 Fax :
 

Would you like a salesperson to contact you: NO


 
Comments:
       
  If you prefer to submit your credit application via fax or mail, please click HERE to print a copy.
 

 
 
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