ENZO Credit Application CONTACT INFORMATIONYour Name(Required) Title(Required) Email(Required) Phone(Required) BUSINESS INFORMATION AS REGISTEREDCompany Name(Required) Address(Required) Phone(Required)City(Required) State(Required) Zip(Required) LENGTH OF TIME AT CURRENT ADDRESS(Required) BILLING ADDRESS (IF DIFFERENT) PhoneCity State Zip Code BUSINESS INFORMATIONNature of Business(Required) YEARS IN BUSINESS(Required) Type of Business(Required)Sole ProprietorshipPartnershipLLCCorporationOtherBANK INFORMATIONBank Name(Required) Contact Name(Required) Address(Required) Phone(Required)City(Required) State(Required) Zip Code(Required) Are You a Member of Dun & Bradstreet?(Required) Yes No BUSINESS REFERENCESPlease provide us at least three other companies your business has established credit with previouslyCOMPANY 1Company(Required) Contact Name(Required) Title Phone(Required)Email(Required) Address(Required) City(Required) State(Required) Zip(Required) Comments COMPANY 2Company(Required) Contact Name(Required) Title Phone(Required)Email(Required) Address(Required) City(Required) State(Required) Zip(Required) Comments COMPANY 3Company(Required) Contact Name(Required) Title Phone(Required)Email(Required) Address(Required) City(Required) State(Required) Zip(Required) Comments COMPANY 4Company Contact Name Title PhoneEmail Address City State Zip Comments CREDIT AGREEMENTThe Undersigned grants permission to ENZO Olive Oil Company the right to inquire of the business references for credit information. The undersigned also agrees to pay for purchases made from ENZO Olive Oil Company within terms and in addition will pay interest charges of the legal maximum rate allowed on any past due balance. In the event that the seller finds it necessary to refer a past due balance to its collection agency and/or attorney for collections, purchaser also agrees to pay all reasonable collection and/or attorney fees.COMPANY REPRESENTATIVESName 1(Required) Title(Required) Email(Required) Date(Required) MM slash DD slash YYYY Signature(Required)Name 2 Title Email Date MM slash DD slash YYYY Signature
