The Alexon Group
Post Office Box 1006, Agoura Hills, CA 91301
Phone: (877) 827-5363     Fax: (877) 333-2532
 
CREDIT APPLICATION
The undersigned company is applying for credit with The Alexon Group and Agrees to abide by the terms and conditions hereof
Company Name
DBA (if different)
Address
PhoneFax
Federal Tax ID or Social Security Number
Type of BusinessNumber of employees
Date Business Established
Company Structure:       Corporation       Partnership       Sole Proprietorship
Authorized Purchasers (list names):
 
 
Is a purchase order required?       Yes        No
REFERENCES:
Bank
Address
Phone
Contact
Account Number

Trade
#1 -- Name of Company
Address
Phone
Contact

#2 -- Name of Company
Address
Phone
Contact

#3 -- Name of Company
Address
Phone
Contact

I represent the above information is true and is given to induce The Alexon Group to extend credit to the applicant. My company and I authorize The Alexon Group to make such credit investigation as it seems fit, including contacting the above bank/trade references and obtaining credit reports. My company and I authorize all banks, trade references, and credit reporting agencies to release to The Alexon Group any and all information concerning the financial and credit history of my company and myself.
 
I have read the terms and conditions stated below and agree to all of these terms and conditions.
 
Authorized Signature:_________________________________________________
 
Printed Name:___________________________________________________
 
Title:__________________________________________    Date:_____________________________
 
GENERAL TERMS AND CONDITIONS
 
1. Invoice are sent on the day of shipment. Terms are Net 30.
2. A service charge of 1.5% per month will be added to all amounts billed if not paid in accordance with our terms.
3. No additional credit will be extended to past due accounts unless satisfactory arrangements are made with our credit department.