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Accounts payable contact

Name

Phone

Fax #

References

Bank name

Address

Account #

Phone/Fax

Current vendor references (no older than 2 years & with previously established credit)

Reference #1

Reference

Contact name

Account #

Phone

Fax

Reference #2

Reference

Contact name

Account #

Phone

Fax

Reference #3

Reference

Contact name

Account #

Phone

Fax

I / we authorize an Idealease representative to contact any / all of the above banks and references upon credit approval, I / we agree to abide fully within your payment terms and other billing policies: all invoices are due and payable upon receipt. In the event of default in the payment of any amount due, this account may be placed on C.O.D., and if the account is placed for collection or legal action, I / we agree to pay an additional charge equal to cost of collection, including agency and attorney fees and court cost incurred and permitted by laws governing these transactions.

Authorized company signature

Date

Printed name

Title

*All sections must be completed including fax# for references and accounts payable contact info for application to be processed.

Thank You

Locations

Locations

Legal

Company information

Accounts payable contact

References

Current vendor references (no older than 2 years & with previously established credit)

Reference #1

Reference #2

Reference #3

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