Credit Application for a Business Account

3millID Credit Application for a Business Account REVISED

BUSINESS CONTACT INFORMATION
Name
First Last
Title
Company Name*
Phone*
Fax
Email Order and Invoice Acknowledgement*
Registered Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date Business Commenced*
MM slash DD slash YYYY
Type of Business*
- Sole Proprietorship
- Partnership
- Corporation
- Other
Business and Credit Information
Tax ID #*
Accounting Contact Name*
First Last
Accounting Contact Email*
Shipping / Resale Certificafe
Shipper Preference
Shipper Number
Resale Certificate Number (please attach below)
Attach Resale Certificate
Max. file size: 32 MB.
State
CAPTCHA

Submission Company Agrees to the Terms below
1. All invoices are to be paid 30 days from the date of the invoice.
2. Claims arising from invoices must be made within seven working days.
3. By submitting this application, you authorize 3millID Corporation to do a credit check.
4. All 3millID Standard Terms and Conditions apply
5. Submitting guarantor has the authority and is authorized by the Company to bind the Company with respect to all purchases from 3millID

3millID Credit Application for a Business Account REVISED

BUSINESS CONTACT INFORMATION

Business and Credit Information

Shipping / Resale Certificafe