Application For Credit

Billable accounts are available to our customers falling under certain classifications, accredited educational institutions, corporations, government agencies, publicly traded companies and public schools. Credit can be applied for by completing this application.

Credit Application

ORGANIZATION ACCOUNT INFORMATION

Organization Name: If Division/ Subsidiary, Name of Parent Company *
Registered Company Street Address *
City *
State *
Zip Code *
Phone *
Date Organization Founded: *
Tax ID # *
Is Organization Tax Exempt? Write YES or NO *

(If you organization is tax exempt, please email a copy of your exemption form to service@atlantaequipment.com

ORGANIZATION TYPE
CorporationPartnershipSole ProprietorshipGovernmental
PRINCIPLE OWNERS/ PARTNERS/ OFFICERS Name:s Title:s *

ACCOUNTS PAYABLE CONTACT INFORMATION

Accounts Payable Contact *
Accounts Payable Contact Phone Number *
Accounts Payable Contact Email: *
Email for Invoices: *
Purchase Order required for payment of invoices? Yes or No *

PURCHASING CONTACT INFORMATION

Purchasing Contact *
Purchasing Contact Phone Number *
Purchasing Contact Email: *

AUTHORIZED USERS (Organizational staff authorized to place requests)

List All Names *
Contact Phone Numbers *
Contact Emails *

SERVICE LOCATION INFORMATION

Service Location Street Address *
City *
State *
Zipcode *
Name of Preferred Contact on Site *
Contact Phone Number: (if different from registered company address.)

If your organization has multiple service locations, please email location list to service@atlantaequipement.com for upload to your account.

FINANCIAL INFORMATION

Bank Name *
Bank Street Address: City State Zip Code *
Bank Account Number *
Bank Contact Name *
Bank Phone Number *
Dunn and Bradstreet Number if applicable:

TRADE REFERENCES

First Trade Reference: Name *
Street Address, City, State, Zip *
Account Number *
Phone Number *
Email address *
Second Trade Reference: Name *
Street Address, City ,State, Zip *
Account Number *
Phone Number *
Email Address *
Third Trade Reference Name *
Street Address, City, State, Zip *
Account Number *
Phone Number *
Email Address *
Information Atlanta Equipment Company extends credit to government agencies, educational institutions, and corporations with a good, published credit rating. Companies may apply for an open account by supplying credit information on their company’s letterhead to Atlanta Equipment Company, or by completing this form. Credit information supplied by the buyer, or by others on the customer’s behalf, shall become part of the Credit Application, and any false or misleading information shall constitute fraud. Completing an application does not guarantee terms will be extended. Approved terms are Net 30 days, upon approval. Invoices on Net 30 payment terms shall be paid by company check, wiring funds, bank to bank (ACH) or credit card. Resale/Sales Tax - Credit Applications for companies located in the state of Georgia, USA, which are intended for resale, must be accompanied with a valid Resale Certificate. All Georgia companies with Tax-Exempt status must include the applicable documentation by emailing to service@atlantaequipment.com. Account Management and Remedies: In the event it becomes necessary for Atlanta Equipment Company to file suit to enforce payment of past due invoices, such a suit will be brought in Gwinnett County, Georgia, USA. Atlanta Equipment Company shall be entitled to collection of fees, court costs, and interest at 10% per annum or such legal maximum rate as is allowed, on all invoice amounts past due. Atlanta Equipment reserves the right to cancel terms at any time. By signing below Applicant warrants that (i) he or she is a duly authorized representative of the Applicant with full legal authority to bind the same by the execution of this Application and (ii) the information provided to Seller in this Application and any other provided financial statements are accurate, truthful, current and complete, and that such information is provided for the purpose of inducing Seller to extend credit to Applicant for the purchase of products, and/or services. Seller reserves the right to decline credit to any Applicant. Applicant authorizes Seller (and its authorized representatives) to (i) obtain and monitor credit information regarding Applicant's business from any source, including but not limited to, all references and banks listed in this Application and any credit reporting and granting institutions, and (release information to credit reporting and granting institutions regarding Seller's credit experience with Applicant. Any references to a granted amount of credit in this Application will not be deemed a limitation of Applicant’s liability. *
Initial Here that you have read the above statement. *
Sign Here. *Application to be signed by organization Authorized Representative
Date: *
Job Title *
Phone Number *
Email address *

Verification

Please enter any two digits *Example: 12
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Atlanta Equipment Company

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