T&S Tool & Supply Credit Application

Date:
Company Name:
First Name: Last Name:
Phone: Fax:

Bill To:

Attn: Street:
City: State: Zip:

Ship To:

Attn: Street:
City: State: Zip:

Type of Business:
Corporation
Proprietorship
Partnership

Type of Account:
Manufacturer
Distributor
Other
Tax Exempt: Yes No
Vendor's License No: Federal ID No:
Year Established: Owners/Principals:

Bank Information:

Bank: Contact:
Address: City:
State: Zip:
Account No: Phone:

References:

Company Name: Phone: Fax:
Address: City:
State: Zip:

Company Name: Phone: Fax:
Address: City:
State: Zip:

Company Name: Phone: Fax:
Address: City:
State: Zip:

Initials of Applicant:

I agree that all the information provided is correct to the best of my knowledge.
I give T&S Tool & Supply Co. Inc. permission to call any references given in this application
and check the validity of this application.

Please fill out the Tax Exempt form below if applicable.

The undersigned hereby claims exemption of purchase of tangible personal property
from T&S Tool & Supply Co. Inc. on and after (Date) and
certifies that this claim is based upon the purchaser's proposed used of the items purchased,
the activity of the purchaser, or both, as shown hereon:
Purchaser must state statutory reason for claiming exemption or exception

Purchaser's Name:

Activity, ie., Manufacturer, Public Utility, Church, etc.

Address: City:
State: Zip:
Initials of Purchaser and Title:
Date:
Vendor's License (if any):

I agree that all the information provided is correct to the best of my knowledge.
I give T&S Tool & Supply Co. Inc. permission to check the validity of this application.

This certificate shall continue in force until revoked and shall be considered a part of each order
given to the above named vendor unless the order specifies otherwise.