Car Dealer Depot Form printable pdf download

Car Dealer Depot Form

Please print this form, complete in its’ entirety, sign, and fax to the number below.

C R E D I T A P P L I C A T I O N

CAR DEALER DEPOT

FAX # (530)688-6523 , ATTN: CREDIT DEPARTMENT

COMPANY INFORMATION :

Full Business Name : _________________________ DBA:____________________

Billing Address: ________________________ City ___________ St.______ Zip: _________

Shipping Address: _______________________City ___________ St. ______ Zip: _________

Phone: ___________________ Fax :________________ E-MAIL Addr.__________________

Tax Exempt ______ Yes ______ No (Attach Exempt Certificate)

Corporation ______ Partnership ______ Proprietorship _________

Federal ID # _______________________

*** IF PARTNERSHIP OR PROPRIETORSHIP, COMPLETE THE FOLLOWING****

PRINCIPAL’S NAME :________________________ SS # ___________________

ADDRESS: _______________________ CITY ____________ ST._______ ZIP : __________

CREDIT REFERENCES WE MAY CONTACT:

Financial Institution : _____________________________ Account# ____________________

Address: ____________________ City________________ St.__________ Zip: ___________

Contact Name: ________________ Phone :________________ Fax : __________________

*****************************************************************************

Supplier : ______________________________________ Account # ____________________

Address: _____________________ City ______________ St. __________ Zip: ___________

Contact Name : ________________ Phone: ________________ Fax : ___________________

Car Dealer Depot Form