Zest Anchors - CREDIT APPLICATION FORM


	Company Name:
	Address:
	City: State: Zip:
	Phone number: Fax number:
	Name of Owner/President :
	Home Address :
	City : State : Zip :
	Purchase Order numbers required? (yes/no):

Business Credit References


	Name : Account # :
	Address :
	City: State: Zip:


	Name : Account # :
	Address :
	City: State: Zip:


	Name : Account # :
	Address :
	City: State: Zip:

Applicant agrees to pay all invoices on a Net 30 terms. Applicant further agrees to pay interest @ 2% per month on balances older than 30 days. In the event of nonpayment, the applicant shall be liable for any costs of collections including attorney?'s fees, expenses, and disbursements.

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

SIGNATURE: TITLE:
PRINTED NAME: DATE:

Zest Anchors LLC, 2061 Wineridge Place, Escondido, CA 92029
Phone: 800-262-2310, 760-743-7744 Fax: 800-487-1357, 760-743-7975

This Credit application is for the purpose of purchasing products from Zest Anchors LLC. and may
be relied upon as correct. All information is to be kept strictly confidential.

Please fill in above form and print it.

RETRUN THE COMPLETED FORM TO ZEST ANCHORS LLC. 2061 WINERIDGE PLACE, SUITE 100,ESCONDIDO, CA. 92029-1933
THANK YOU FOR YOUR ASSISTANCE AND COOPERATION. PLEASE CALL US IF ANY QUESTIONS.