Left Coast Scales, LLC
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Left Coast Scales, LLC
Credit Application Form
You need Java to see this applet.
fill in the form below and submit to apply for credit from Left Coast Scales, LLC. Allow up to 2 weeks for a response.
Billing Address:
Office Address:
Street Address:
Street Address:
Click here: If office address is same as billing address.
General Information
Corporation State of:
Company Composition:
Sub-Chapter S Corp
Partnership
Individual
LLC
Corporation
Are Premises Leased?
Yes
No
Ordering Information
Are Written Purchase Orders Required?
Yes
No
Bank Information
Terms & Conditions Acceptance & Approval
All Accounts are COD until a credit application has been
completed, reviewed, and approved. If any indebtedness
incurred pursuant to this request for credit is not paid in full
when due, the undersigned agrees to pay all costs of
collection, including a reasonable attorneys fee. Any balance so
remaining unpaid shall bear interest at the lesser rate of 1.5%
per month or the maximum rate permitted by applicable law,
until paid in full.
Click here: If you have read and understand the terms
and conditions.
Online submission of this form indicates your acceptance of the terms and conditions as stated.
In addition, you authorize Left Coast Scales, LLC to make any and all inquiries necessary to
process this credit application.
Printable Form
:
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