United Products Credit Application
Wholesale Roofing & Siding

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  United Products
200 Sycamore Street
St. Paul, MN 55117-5394

(desk):  651.227.8731
(desk fax):  651.227.3699
(office):  651.227.8735
(office fax):  651.227.2417
Toll Free:  800.879.8626

Credit Application

Red = required fields

Business Information
* Partnership Corporation Sole Ownership

Business Name     Tel.
Address Fax
Address 2 Cell
City
State Zip
State Contractors License#
Years in Business
Monthly Credit Desired


Owners and/or Officers Information Section
Name   Title
Address City
State Zip Home Tel.

Name   Title
Address City
State Zip Home Tel.

Name   Title
Address City
State Zip Home Tel.


Banking Information
Bank Name   Branch
Bank Officer Tel.
Checking Account #
Savings Account #

Bank Name   Branch
Bank Officer Tel.
Checking Account #
Savings Account #


Supplier References
Name   Tel.
Account #

Name   Tel.
Account #

Name   Tel.
Account #


Tax Exempt Information
If tax exempt, please fill in your tax exempt number  
NOTE: (You must mail/fax a copy of your exemption certificate to our office)


Please read the following and check the appropriate button below
The undersigned (jointly and severally, if more than one), in consideration of your extending credit to the above-named applicant, do hereby agree to pay for all goods, wares, and/or merchandise supplied to applicant, and in the event it should become necessary to place our account with an attorney for collection the undersigned agree to pay all costs of such collection including court costs, appellate court costs and reasonable attorney’s fees. The undersigned understands that United Products Corporation is relying upon the personal agreement to pay of the undersigned in agreeing to extend credit. The undersigned do further agree to notify United Products Corporation in writing by registered mail of any change in ownership or form of applicant’s business organization. It is agreed that the undersigned shall be estopped to deny liability for all materials, etc., furnished applicant prior to delivery of the aforesaid written notice. All payments are due in St. Paul, Minnesota. The undersigned agree that the venue shall be in Hennepin County, Minnesota for all actions on the agreement. A corporate title after my/our signature is not intended to negate my/our guaranty. United Products reserves the right to send out “Notice to Owners” and file Liens. A copy of or facsimile of this document shall be deemed an original for all purposes.

United Products Corporation has the right to investigate my credit and income records, and has the right to verify my credit references and to report the way I pay this account to credit bureaus and other interested parties.
I Agree

   Date  
Type full name(s) below as it appears in your signature

 

Individually, and as agent for applicant
Social Security No.

Individually, and as agent for applicant
Social Security No.

Individually, and as agent for applicant
Social Security No.

Applicant understands and agrees to the following credit terms: Balance is due the 10th of every month. A service charge of 1-1/2% will be charged on all past due accounts.