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 but depends on how quickly your references respond to our request. 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.