CENTRAL CAROLINA SCALE CREDIT APPLICATION If you are interested in opening up a NET 30 account with us, we need to receive credit references from you. If your company already has a standard credit reference sheet, you may fax it to us at (919) 774-1622 (make sure the sheet includes fax #'s) or you may fill out our form below or print out this form and fax to us. If you choose to fill out our online form below, once you press the submit button you will be taken to a thank you page. When you see the thank you page, you can be sure we have received your credit application. Normally it takes anywhere from 5 to 10 business days for approval. Need your order processed faster? Try prepaying with check or pay by credit card! Your Company Information     Company Name: Contact: Street: City: State: Zip: Country: Phone: Fax: Your Email: Years in Business: Business Status Type of Business Corporation Partnership Individual Manufacturer Distributor / Reseller Service     Name of Officers, Owner or Partners for your Company President: Vice President:  Secretary: Treasurer: Owners: Partner     Bank Reference Bank Name: Street: City: State: Zip: Country: Bank Phone: Bank Fax: Account Number:       Business References Please provide at least 3 trade references in which you have an active account Reference 1 Name: * Street: * City: * State: * Zip: * Phone Number: * Fax Number: * Reference 2 Name:     Street: *     City: * State: * Zip: * Phone Number: *   Fax Number: *   Reference 3 Name: *         Street: *     City: * State: * Zip: * Phone Number: *   Fax Number: *           NOTE: Payment Terms are NET 30. A 1.5% per month Finance Charge on unpaid balance after 30 days will be enforced. If account is sent to a collection agency, a 25% service charge for collection will be added. I Agree (type your name): *     Title: * Date: *         Thank you for filling out a credit application. Once you press the submit button you will be taken to a thank you page. Once you see the thank you page, you can be sure we have received your application. Normally it takes anywhere from 3 to 10 business days for approval. Need your order processed faster? Try prepaying with check or pay by credit card!