KE WA PA Credit Application - Cleaning Supplies, Office Supplies, Car Detailing, Vacuums and Floor Machines

Janitorial Supplies, Office Supplies, Car Detailing Supplies, Vacuums & Floor Machines, Cleaning Supplies

If you are already a KEWAPA customer, be sure to log in before you begin building your order.

By registering as an online customer, you can receive product discounts and a quicker checkout process, complete the credit application to register.

Car Detailing Supplies
09-TIRE APP 85-505

Harper Brush Works, Inc.

Warsaw Chemicals

Please let us know more about you

KE WA PA has all of the resources that you will need for your next project. To become eligible for some substantial online discounts, the first step is to complete the credit application form below. Once your credit application is approved, you can then just log-in when you return for more items and all of your information will already be completed, speeding up the check out process.

* required

Application for Credit

Company Name*:

Years in business*:

Address*:

Phone*:

City*:

Fax:

State:

Mobile or Pager:

Zip*:

Home Phone:

Owner's Name*:

Email*:

Owner's SSN or Federal ID Number:

Trade References

Company

Phone:

Fax:

Company

Phone:

Fax:

Company

Phone:

Fax:

Bank Reference

Bank Name*:

Address*:

Contact Person:

City:

Phone:

State:

Checking Account #:

Zip:

Do you require Purchase Order Numbers on Invoices?

Yes:

No:

Do you have liability and equipment rental insurance coverage?

Yes:

No:

Name of Insurance Company:

Agent's Name:

Phone:

Pending liens or lawsuits:

Has the Company or any owner/officer of the company ever declared bankruptcy?

Yes:

No:

If yes, provide details:

Terms and Conditions

I/we authorize our suppliers and banks to release all pertinent credit information.

If credit is granted, I/we understand that the terms of the sale are net thirty(30) days following purchase, unless otherwise agreed. KE WA PA will charge interest on any past due balance at the rate of 1.5% per month or 18% per year.

In consideration of KE WA PA extending credit to the above business, I/we do hereby guarantee, jointly and individually, to pay all rental charges and charges for other goods and services supplied to any of us or to the above business. I/we agree to pay all costs including reasonable attorney's fees, court costs and finance charges incurred by KE WA PA in the collection of this account.

All payments received on this account will be applied first to cost of collection, second to finance charges and third to the oldest invoice.

In the case the above company is a corporation, I/we personally guarantee to pay any charges incurred by the corporation.

	Janitorial Supplies 04-BROOM M 3724
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	Car Detailing Supplies 06-SUPERBALL 5G
	Car Detailing Supplies 09-CHERRY BOMB G
	Car Detailing Supplies 09-SLICK G