Credit Application

Thank you for your interest in Grattan Fastening Products. Please complete the below credit application. The extent to which this application is completed will assist us in determining the line of credit to your organization. All information submitted will be held in strict confidence and used solely for reference purposes only within our company.

* : Required

Are you an existing Brighton-Best International customer?*
Brighton-Best International CUSTOMER NUMBER:*

What Products would you be interested in purchasing?
Are you a member of any listed groups?

LEGAL BUSINESS NAME: *

DBA:

BILL TO ADDRESS:

SHIP TO ADDRESS:

the same as billing address above

BUSINESS INFORMATION

APPLYING CREDIT LIMIT:
UPS ACCOUNT #:
UPS ZIPCODE:
BUSINESS TYPE: *
IF CORPORATION, WHICH YEAR INCORPORATED:
IF CORPORATION, WHICH STATE INCORPORATED:

SIC CODE:
RELATED COMPANIES:
RELATIONSHIP:
YEAR ESTABLISHED: *
UNDER PRESENT OWNERSHIP SINCE:
HOW MANY EMPLOYEES: *
ESTIMATED ANNUAL SALES:
TYPE OF PRODUCTS CURRENTLY CARRYING:
TYPE OF MATERIAL PURCHASED:
HOW DID YOU FIND OUT ABOUT GRATTAN FASTENING PRODUCTS:


FEDERAL TAX ID: * ( MUST PROVIDE PHOTO COPY OF FEDERAL TAX ID )
RESALES ID: * ( MUST PROVIDE PHOTO COPY OF RESALES ID )
Check here if your company resides at state which exempt from providing resale certificate.
DUN ＆ BRADSTREET NO:

OWNER/ OFFICER
FULL NAME:*
TEL:*
FAX:*
E-MAIL:*

PAPERLESS BILLING

PRIMARY CONTACT

BACK-UP CONTACT

Check here if you will fax your own sheet of Trade and Bank References.

TRADE REFERENCE

( AT LEAST THREE FROM WHOM PURCHASES ARE MADE ON A DIRECT CREDIT BASIS )

Name:*	TELEPHONE:*	FAX:*

BANK REFERENCES (MUST SIGN AND FAX THE AUTHORIZATION SECTION BELOW)

BANK NAME:*	TITLE:*	CONTACT NAME:*	ACCOUNT NUMBER:*	PHONE:*	FAX:*

ACCOUNTS PAYABLE CONTACT

PRIMARY CONTACT

BACK-UP CONTACT

YOUR INFOMATION

The same as owner/officer above

Send me a copy of this report by email

*	A LIST OF TRADE REFERENCES: (ON A SEPARATE PAGE, PLEASE PROVIDE ATLEAST THREE FROM WHOM PURCHASES ARE MADE ON A DIRECT CREDIT BASIS).
*	A BANK REFERENCE: (PROVIDE ACCOUNT# AND CONTACT INFORMATION, NOTE OFAUTHORIZATION).
*	ANY CANCELLATION OR RETURNS MUST BE AUTHORIZED BY GRATTAN FASTENING PRODUCTS AND GOODS MUST BE RETURNED IN ITS ORIGINAL CONDITION. RETURNS WITHIN 60 DAYS OFSHIPMENT WILL BE SUBJECT TO THE GREATER OF 15% RESTOCKING FEE OR $25 MINIMUM FORWHICH THE PURCHASER SHALL BE RESPONSIBLE. ANY CANCELLATIONS OR RETURNS AFTER 60DAYS FROM SHIPMENT WILL NOT BE ACCEPTED.

I HAVE READ, UNDERSTAND AND ACCEPT THE ABOVE TERMS ANDHAVE PROVIDED TRUE INFORMATION TO THE BEST OF MY KNOWLEDGE. I FURTHER AUTHORIZE GRATTAN FASTENING PRODUCTS TO VERIFY ANY AND/ OR ALL REFERENCES GIVEN THAT MAY BE REQUIRED TODETERMINE OUR CREDIT CAPABILITIES AND TO REQUEST RELEVANT INFORMATION FROMCREDIT REPORT AGENCIES. THIS AGREEMENT WAS MADE IN LONG BEACH, CA AND ANYDISPUTE OR LITIGATION RESULTING FROM THESE TRANSACTIONS WILL BE FILED IN THISJURISDICTION. SHOULD IT BE NECESSARY TO REFER THE ACCOUNT BALANCE TO A LICENSEDCOLLECTION AGENCY OR ATTORNEY FOR LEGAL ACTION, APPLICANT AGREES TO PAY A 25%COLLECTION FEE, REASONABLE ATTORNEY FEES AND COURT COSTS.

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GrattanFastening Products | Since 1957 | 12825 Carmentia Rd., Santa Fe Springs, CA 90670