Credit Application

Credit Application

Phone: 713-749-5900
Fax: 713-749-5907

3616 Old Spanish Trail
Houston,TX 77021

(Please print this application and FAX or Mail it to the address above.)

  Name of Firm: ______________________  Date Established: ____________

   Address: ___________________________  Phone: _______________________

           ___________________________  FAX: _________________________

   Type of Business: __________________  Web URL: _____________________

  Individual/Proprietorship: ____  Partnership: ____  Corporation: ___

  Tax ID# or SS#: ___________  Parent Company: _______________________

  Accounts Payable Contact: ____________________  Phone#: ____________

    Billing Address: ______________________    Email: __________________

                     ______________________

  

Principals in Business

      Name            Title           Address            Phone

  ____________________________________________________________________

  ____________________________________________________________________

  ____________________________________________________________________

  

Bank Reference

        Name: ________________________  Contact: _____________________

        Address: _____________________________________________________

        Account: _______________________  Phone: _____________________

Trade References


       Name              Contact         Phone Number     Fax Number

    ___________________________________________________________________

  ____________________________________________________________________

  ____________________________________________________________________

We would like to explain our credit terms and procedures.  Our terms 
are net 30 days from invoice date, which means you pay 30 days from 
the date on the invoice.  For example, an invoice dated January 5, 
1999 would be due on February 5, 1999.  We will appreciate your prompt 
payment.

I, __________________, of ______________________have read the credit 
terms and policies of BEST.  I understand that payment of invoices is 
to be made net 30 days from the date of invoice.  If BEST's office 
does not receive payment of the amount by the due date the account 
will be considered past due and it may be placed on COD until such 
time as it becomes current.  I hereby agree, by my signature below, 
to abide by the terms and policies as stated by BEST.

If it becomes necessary to refer this account to an attorney for 
collection, buyer shall pay all costs and expenses incurred by seller 
in the collection efforts including, but not limited to, attorney's 
fees, court cost, and finance charges.

In concurrence with this, I am fully authorized to enter into a trade 
credit contract with BEST. I understand that failure to pay as agreed 
will subject me/company to collection measures according to the policies 
of BEST and, as such, will affect both my services rendered by BEST and 
my/company credit reputation.

__________________________________  ____________________
     Signature                      Date

__________________________________  ____________________
Print or Type Name                  Title