Credit Application
Business Name:
Address:
City:	State:	Zip:
Phone:	Fax:	Years In Business:
Amount of credit requested: $
Check One:	Coporation	Partnership	Proprietorship
( If Corporation or partnership, please complete page 2)
Owner's Name:		Home Phone:
Address:
City:		State:	Zip:
Bank Reference Name:
Address:
City:		State:	Zip:
Phone:		Account Number
Trade References
Co. Name:		Co. Name:
Address:		Address:
City:	St:	City:	St:
Zip:	Phone:	Zip:	Phone:
Fax:	Contact	Fax:	Contact
Acct No.		Acct No.
Co. Name:		Co. Name:
Address:		Address:
City:	St:	City:	St:
Zip:	Phone:	Zip:	Phone:
Fax:	Contact	Fax:	Contact
Acct No.		Acct No.
I (we) agree to the payment terms in affect at the time of each sale, and should legal collection become necessary, to pay reasonable legal fees. I (we) agree to pay all service charges should account become past due. Signature:____________________________________ Social Sec. #:_____________________ All applicants: Please submit most recent balance sheet with credit application. All proprietorships please submit personal financial statement with application. Corporations requesting large lines of credit will be required to have all principals sign personal guarantees.
Authoriztion To Release Credit And Financial Data
Name of business____________________________by_________________________ (print) in the position of:______________________________(title), authorizes and agrees to the release of credit, financia, and performance information on business shown above, to Tru-Power Inc. Signature:_________________________________________________Date:_______________________ Business address___________________________________________City:________________________

Corporations and partnerships must fill out page 2. Click Here for page 2.