Ordering Information and Credit Application:

 

 We accept Purchase Orders from established businesses and government agencies. Payment terms after credit approval for end user clients are Net 30 Days from date of Invoice. Invoicing occurs just subsequent to product shipment.

 If you are interested in establishing a credit line, please fill out and submit the form below. Incomplete forms cannot be processed. You will be notified in writing if accepted and of your company's credit limit.

 

 

 CREDIT APPLICATION

to Universal Systems Integration/EDINET

Your Company Name:

Year Established:

Company Phone Number with Area Code:

Street Address 1:

Street Address 2:

City:

State:

Zip Code:

 

Credit Line desired (amount in US dollars):

 

Bank Reference 1 Name:

Year Bank Account was established:

Bank Reference 1 Address:

Bank Reference 1 State:

Bank Reference 1 Zip Code:

Bank Reference 1 Contact Name:

Bank Reference 1 Phone Number with Area Code:

 

Trade Reference 1 Name:

Year Trade Reference Account was established:

Trade Reference 1 Address:

Trade Reference 1 State:

Trade Reference 1 Zip Code:

Trade Reference 1 Contact Name:

Trade Reference 1 Phone Number with Area Code:

 

Name of Authorizing Company Officer:

Title:

Date:

 

By submitting the above document, you authorize the release of pertinent information from listed bank and trade references to Universal Systems Integration/EDINET for the purposes of establishing credit with our company.

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