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Winter Office Hours: M-F, 7:00 a.m. - 5:00 p.m.
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New Customer Credit Application

Please fill out our online form entirely, and we will get a response back as soon as we can on approval status. If you prefer, please download the PDF of our credit application and references form, fill it out, and FAX it back to us at: 952-915-6480.

Applicant

Individual/Customer Name:

Type of Ownership:

Corporation     Partnership    

Street Address:

City/State/Zip:

Phone Number:

Fax Number:

Date Business was Established:

Tax Exempt: Yes No

If yes, tax exempt number:

(Please send us a copy of your tax-exempt certificate for our records if you are tax exempt. Thank you!)

Applicant's Authorization and Agreement

In support of this application, Ryan Company is hereby authorized to obtain information from your banks and other firms with whom we do business. Upon approval of this application, it is agreed that all purchases shall be paid in full and in accordance with the terms of sales as stated on Ryan Company invoices. It is understood that all orders are subject to the ongoing approval of Ryan Company's Credit Department, and that should Ryan Company find it necessary to obtain assistance in collecting any past-due balances, we agree to pay a service charge of 1.5% per month and all attorney, collection and court fees.

We agree to inform Ryan Company of any material negative change in the condition of this company and of any changes in the management of ownership structure and to update the information on this application when requested to do so.

We agree:

Officer's Name

Company Name

Date Agreed

Notes:

 

References

Please provide as much of the following information as possible. Thank you!

Bank Information

Bank Name:

Account Number:

Street Address:

City/State/Zip:

Phone Number:

Fax Number:

Suppliers

Please fill in all fax numbers. Thank you.

Supplier 1

Supplier Name:

Street Address:

City/State/Zip:

Phone Number:

Fax Number:

Supplier 2

Supplier Name:

Street Address:

City/State/Zip:

Phone Number:

Fax Number:

Supplier 3

Supplier Name:

Street Address:

City/State/Zip:

Phone Number:

Fax Number:

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