10000200 Datasheet, PDF (162/164 Pages) List of Unclassifed Manufacturers – Let Rose+Bopla be your partner for standard or customized enclosures.

Credit Application _{30 day credit limit requested $}
®
ROSE+BOPLA
A Phoenix Mecano Company
PRINCIPAL
OFFICERS
BANK
REFERENCES
SUPPLIER
REFERENCES
Company Name
Street Address
Fax Number
Where
Tax Exemption Number:
Name
Name
Bank Name
Bank Name
Bank Name
Name
Address
Name
Address
Name
Address
Phone
City
State
Zip
Are you incorporated?
When
Please provide Tax Exemption Certificate with Application
Title
Title
Account No.
Phone
Account No.
Phone
Account No.
Phone
Phone
Fax
City
State
Zip
Phone
Fax
City
State
Zip
Phone
Fax
City
State
Zip
TERMS AND APPLICATION FOR CREDIT: We hereby agree that Rose₊Bopla terms are Net 30 days
from the date of invoice, with interest charge at 1½ percent per month on all accounts past due.
Signature*:
Authorized By
Title
Date
DO NOT WRITE BELOW THIS LINE
*It is understood that by signing the Rose₊Bopla Credit Application you, the customer, agree to
Rose₊Bopla’s Net 30 credit terms, including a 1½% late finance charge per month for any overdue
balance. By signing this document, you also agree to give Rose₊Bopla permission to investigate your
credit worthiness through trade references and credit bureau research.
ROSE+BOPLA ENCLOSURES • 7330 Executive Way • Frederick, Maryland 21704-8377 • Telephone [phone] • Fax [phone]
A PHOENIX MECANO COMPANY
160
www.Rose-Bopla.com