New Customer Credit Application

Date:

Submitted by:

Account #:

CUSTOMER CREDIT INFORMATION / APPLICATION

Company's Legal Name:

DBA:

Primary Billing Address:

City:

State:

Zipcode:

Shipping Address:

City:

State:

Zipcode:

Primary Contact Name:

Phone:

Email:

Accounts Payable Contact:

Phone:

Email:

Tax ID #:

D&B #:

Credit Limit:

Current Ownership:

Date Established:

Payment Method (Standard payment Terms: Net 30 Days):
ACHCheckEDI/Other

Bank Information

Bank #1 Name:

Phone:

Fax:

Email:

Branch:

Banking Officer:

Phone:

Account Numbers:

Checking:

Savings:

Primary Credit References

Reference:

City:

State:

Zip:

Phone:

Account #:

Reference:

City:

State:

Zip:

Phone:

Account #:

Reference:

City:

State:

Zip:

Phone:

Account #:

Owner Information

Name:

Phone:

Address:

Social Security:

The undersigned, in consideration of the Applicant herein receiving credit, does hereby unconditionally, jointly and severally, guarantee payment of any and all bills or obligations incurred by Applicant.

Company agrees that by signing this document, it is authorizing Creditor to obtain financial information from the trade and bank references listed in the credit application Company will comply with the Credit Application Terms and Conditions below.

Authorized Signature:

Print Name:

Date:

Credit Application Terms And Conditions

Company represents that the information supplied in the Credit Application is in all respects complete and accurate. Company agrees to notify Superior Group of Companies, Inc. (“Creditor”) promptly, in writing, of any substantive changes in the information provided. Company understands that the information included in the credit application is for use by Creditor in determining the amount, if any, and conditions of credit to be extended.
Company agrees that by signing this document, it is authorizing Creditor to obtain financial information from the trade and bank references listed in the credit application. Company explicitly authorizes Creditor to obtain credit reports in connection with this application for credit. Company also authorizes the trade and bank references, listed in the credit application, to release to Creditor, on a continuing basis, any other financial information required by Creditor to make its credit decisions. Company understands that Creditor may cancel credit at any time without notice.
In the event credit is extended, Company shall pay all invoices when due and pay interest on overdue accounts. Delinquent invoices are subject to finance charges as permitted by law.
If Company fails to abide by the conditions of the invoice or this credit agreement, or if Creditor, in its absolute discretion, determines that Company will be unable to pay amounts due and owing, Creditor has the right to revise or revoke Company’s credit arrangements.
If any one or more of the above terms becomes invalid or illegal in any respect, such term or terms shall be stricken and the validity, legality and enforceability of the remaining terms shall not be affected.
This document, together with any attached documents and any invoices, constitutes and expresses the entire agreement of the parties. In the case of conflict between this document and any other contract or document, the parties understand that this agreement controls, unless otherwise agreed to in writing by the parties.
THESE TERMS, INCLUDING TERMS OF PAYMENT AND CHARGES FOR EACH PURCHASE, ARE AGREED TO BE CREDITOR’S TERMS AND CONDITIONS OF SALE, INCLUDING BUT NOT LIMITED TO, THOSE SPECIFIED ON THE FACE OF CREDITOR’S INVOICE. CREDITOR EXPRESSLY REJECTS ANY TERMS AND CONDITIONS ON ANY OF COMPANY’S FORMS, INCLUDING, BUT NOT LIMITED TO, PURCHASE ORDERS AND ANY OTHER DOCUMENT ISSUED BY COMPANY IN CONNECTION WITH THIS CREDIT APPLICATION.
ANY DISPUTE OR CONTROVERSY ARISING FROM THIS AGREEMENT WILL BE RESOLVED BY SUCH LEGAL
ACTION AS CREDITOR ELECTS IN SEMINOLE COUNTY, FLORIDA. THE PARTIES AGREE THAT ANY JUDGEMENT
RENDERED IN ARBITRATION SHALL BE ENFORCEABLE IN FEDERAL COURT. COMPANY SHALL PAY ALL COSTS
OF COLLECTION AND LEGAL FEES INCURRED BY CREDITOR SHOULD SUCH ACTION BE NECESSARY DUE TO
NON-PAYMENT.

New Credit Application

New Customer Credit Application

CUSTOMER CREDIT INFORMATION / APPLICATION

Classification (Please select one of the following that best describes your business)

Bank Information

Primary Credit References

Owner Information

Credit Application Terms And Conditions

Place Your Brand In Superior Hands

Phone

Location

Email