COMPANY CONTACT INFORMATION
ACME Fire Sprinklers & Valves, Inc.97 Riverview Ave. Cliffside Park NJ 07010Phone 346-218-1905acmesupply.Please Mail Credit Application to the above address or e-mail to info@acmesupply.CREDIT APPLICATION AND AGREEMENTCOMPANY CONTACT INFORMATIONCompany name Sole proprietorship PartnershipPhone E-mail LLC CorporationMailing AddressCityState/ZipShipping Address (if different)CityState/ZipPurchasing Contact & Phone #Accounts Payable Contact & Phone #BUSINESS AND CREDIT INFORMATIONFederal Tax ID NumberBank nameSales Tax Exemption NumberPhoneDate Business EstablishedAccount numberNumber of EmployeesType of accountSavings Checking OtherBUSINESS/TRADE REFERENCESCompany namePhoneE-mailAddressCityState/ZipCompany namePhoneE-mailAddressCityState/ZipCompany namePhoneE-mailAddressCityState/ZipagreementAll invoices are to be paid 30 days from the date of the invoice (unless otherwise specified on invoice). All past due amounts are subject to a service charge of 1.5% per month. Claims arising from invoices must be made within seven working days.By submitting this application, you authorize ACME Fire Sprinklers & Valves, Inc. to make inquiries into the banking and business/trade references that you have supplied.SIGNATURESSignatureSignatureName and TitleName and TitleDateDate ................
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