Credit Application Form printable pdf download

Credit Application Form

Appendix “A”

Credit Application Form

CREDIT APPLICATION

GENERAL CREDIT INFORMATION FORM

Customer Information

Customer Name: _____________________________________________________________

Street Address: _______________________________________________________________

City: ____________________________________________ State: ____________ Zip Code: ___________

Contact Person: __________________________ Phone: _____________ E-mail: ____________________

NERC Acronym:________________ SIC Code:

Dun & Bradstreet no.:______________

Attach Financial Statements as described in Section 3.1.1.1 of the SPP Credit Policy or give web

address where they may be obtained:

Credit Customers anticipated peak monthly transmission activity:

Credit Customers anticipated peak weekly market activity:

Bank Reference

Bank Name: ______________________________________ Account No(s): _________________________

Street Address: __________________________________________________________________________

City: ____________________________________________ State: ____________

Zip Code: __________

Contact Person: ____________________________ Phone: _____________ E-mail: __________________

SIGNIFICANT COMMERCIAL REFERENCES

1. Company Name: _____________________________________________________________________

Contact: ____________________________ Phone: _____________

E-mail: ______________________

Contract Date: __________________________

Contract Amount: ______________________________

2. Company Name:

________________________________________________________________________

Contact: ____________________________ Phone: _____________

E-mail: _______________________

Contract Date: __________________________

Contract Amount: ____________________________

Credit Application Form