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   Zest Anchors - CREDIT APPLICATION FORM
Please fill in below form and print it.
This Credit application is for the purpose of purchasing products from Zest Anchors, Inc. and may
be relied upon as correct. All information is to be kept strictly confidential.
 
  Company Name:
  Street Address: Telephone #
  City: State: 9 Digit Zip Fax #
  Type of Business : Federal Indentification Number :
  Name of person in charge of Accounts Payable: Tele #
  Name of Owner\President : Years in Business :
  Home Address : City : State : Zip :
 

  Name of Company Bank : Account #
  Address: Telephone #
  City: State: Zip


Applicant agrees to $500.00 maximum credit limit and to pay all invocies on Net 30 Terms. Applicants further aggrees to pay interest @ 2% per month on balances older than 30 days, or if lower, the highest amount permitted by law. In the event of nonpayment, the applicant shall be liable for any costs of collection including attorney's fees, expenses and disbursements.

This Application represents that the information contained herein this application, to the best of applicants knowledge, is accurate and authorizes Zest Anchors, Inc. To verify information by use of credit reporting agencies and/or references listed. Applicants signature attests financial responsibility, ability, and willingness to pay Zest Anchors, Inc. invoices in accordance with all terms and conditions noted.



         
          SIGNATURE                        TITLE                   PRINTED NAME          DATE









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  AUTHORIZED PURCHASERS (Name and Titles)
  Name : Title
  Name : Title
  Name : Title
  Name : Title
  P O Number Required ? (Yes / No) Other Restrication ?



LIST YOUR THREE HIEGHEST BUSINESS CREDIT REFERENCES
(Complete all below)
   
  Name : Account #
  Address : Phone No : Fax No.
  City, State, Zip : High Credit Amount : $
 

   
  Name : Account #
  Address : Phone No : Fax No.
  City, State, Zip : High Credit Amount : $
 

   
  Name : Account #
  Address : Phone No : Fax No.
  City, State, Zip : High Credit Amount : $
 

Please fill in above form and print it.

RETRUN THE COMPLETED FORM TO ZEST ANCHORS INC.2061 WINERIDGE PLACE, SUITE 100,ESCONDIDO, CA. 92029-1933

THANK YOU FOR YOUR ASSISTANCE AND COOPERATION. PLEASE CALL US IF ANY QUESTIONS.