Opening an Account

Bichler Gravel and Concrete Company

Opening an Account

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Qualified contractors and business owners are eligible to open up an account with Bichler Gravel and Concrete Company. If you are a contractor or business owner and are interested in applying for credit with us, please fill out the form below, print and fax or mail to us.

APPLICATION FOR CREDIT

BILLING INFORMATION

Company Name

Owner(s) Name

Address

City State Zip Code

GENERAL BUSINESS INFORMATION

Type of Business

Years in Business

Are you Sales Tax exempt? Yes No If Yes*, What is your Tax ID number?

(*Please fax copy of tax certificate to 906.786.0393)

Accounts Payable Contact

Phone No. Fax No. Cell No.

Email Address

Officer(s) 1. Name Title

2. Name Title

3. Name Title

BANK REFERENCE

Bank Name Officer in Charge

City State Zip Code

Phone No. Credit Requested

BUSINESS CREDIT REFERENCES

1. Company Name

Address

City State Zip Code

Phone No. Fax No.

Contact Person

2. Company Name

Address

City State Zip Code

Phone No. Fax No.

Contact Person

3. Company Name

Address

City State Zip Code

Phone No. Fax No.

Contact Person

4. Company Name

Address

City State Zip Code

Phone No. Fax No.

Contact Person

TERMS ARE N/30 AND FINANCE CHARGES OF 1.5% WILL BE APPLIED TO ACCOUNTS THAT ARE MORE THAN 30 DAYS PAST DUE.