Page 205 - Alfa International 2023 Catalog

CREDIT APPLICATION FORM

4 Kaysal Court, Armonk, NY 10504 USA
Phone: 800.327.2532 (ALFA) Fax 800.328.2532 (ALFA)
accounting@alfaco.com | www.alfaco.com
To Request Terms, Please Supply
the Following Information
Date:

Firm Name: Phone:

Street: Fax:

City: State: Country: ZIP:

Firm Principals: Years in Business:

Type of Business: Corporation Proprietorship Partnership

Resale #: Email: Web Site (URL):

Amount of Credit Requested $
Bank and Trade References
Please complete the section below or attach your preprinted list to this Application.

Bank: Firm:

Address: Address:
ZIP: ZIP:

Phone: Fax: Phone: Fax:

Acct.#: Acct.#:

Firm: Firm:

Address: Address:

ZIP: ZIP:

Phone: Fax: Phone: Fax:

Acct.#: Acct.#:

Personnel authorized to place orders by phone or in writing:

1. 2. 3.
The above information is provided for the purpose of the obtaining credit and warranted to be true. I/we hereby authorize
Alfa International Corp. to investigate the references listed pertaining to my/our credit and financial responsibility. FAQS & SCHEMAS

It is understood that your information will be held in the strictest confidence and used only by Alfa’s Credit Department.

I have received a copy of Alfa’s current Sales Terms and Conditions and agree to abide by them.

Signed: Title:

ALFA International Catalog 2019 / 2020 • Ph 914.273.2222 / 800.327.ALFA (2532) • www.alfaco.com 199