Business

BUSINESS CREDIT APPLICATION

Business Information

Business / DBA Name *

Business Address *

City *

State *

Zip Code *

Business Phone *

Secondary Phone *

Years in Business *

Annual Revenue *

Accounting / Billing Contact Information

Name *

Email *

Phone Number *

Billing Address if different from Business Address above

Billing Address *

City *

State *

Zip Code *

Dollar amount of credit requested *

Are you tax exempt? (Select...) *

Enter EIN

Note: Exemption certificates must be emailed to: accounting@legacymaterials.org prior to the material being picked up.

Terms: Net 30 days from invoicing. Any amounts not paid when due shall bear interest from the due date at the rate of 1½% per month or the highest rate of interest permitted by law, whichever is lower. No guarantee of product color. No moisture deductions. Minimum $30 purchase. Special products upon request. Any fees incurred to recover for unpaid balances will be the responsibility of the customer.

Project Contact Information

If different from Billing Contact above

First Name *

Last Name *

Email Address *

Phone Number *

Owner Information

If employed outside business or in business less than one year please include below Employment Information for credit reference

Employer Company Name

Annual Salary

Years Employed

Employer Phone

Job Title

Owner / Authorized Signer

First Name *

Last Name *

Email *

For purchases over $25,000 WFS will require the submittal of 1) Last year's tax returns and/or 2) Current year to date Profit and Loss Statement. Please fax this information to our secure fax line: 515-271-8402. If you have any questions, please contact WFS at 1-800-236-2929.

Please review the Credit Report and Finance Application Submission Policies regarding the information that you provide to us.

By clicking 'Submit' you agree to the terms of this application.

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