Application for Credit

Application for Credit

COMPANY INFORMATION

Type of Business

Billing Address(Required)
Ship To Address

TRADE REFERENCES

Max. file size: 128 MB.
Contact Name
Contact Name
Contact Name

ACCOUNTS PAYABLE INFORMATION

LTR STANDARD PAYMENT TERMS NET 30 DAYS FROM INVOICE DATE
PO Required?(Required)
Payment Method(Required)
Tax Exempt ( *IF EXEMPT, PLEASE ATTACH AN EXEMPTION CERTIFICATE )(Required)
If yes, Exemption Certificate or Tax Permit Required - Tax Exempt accounts will not be approved prior to receiving a valid form of exemption. Please attach below.

Certification

I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND ACCURATE, AND I AUTHORIZE LTR FASTENER & SUPPLY, LLC TO INVESTIGATE THE REFERENCES LISTED ABOVE FOR THE PURPOSE OF OBTAINING CREDIT. I AGREE TO PAY FOR ALL PURCHASES WITHIN THE PAYMENT TERMS SET FORTH IN THIS APPLICATION. I HAVE THE AUTHORITY TO EXECUTE THIS CREDIT AGREEMENT ON BEHALF OF OUR BUSINESS.
MM slash DD slash YYYY

Please allow 3-5 business days for processing. If you have any questions, you may reach out to Accounts Receivable directly at ar@ltr-industries.com
Max. file size: 128 MB.