Credit Application to become a Wild West Guns Dealer

Business Contact Information
Title
Company Name
Phone
Fax
Email
Registered Company Address
Street Address Address Line 2 City State ZIP Code
Date Business Commenced
MM slash DD slash YYYY
Type of Business
- Sole Proprietorship
- Partnership
- Corporation
- Other
Please Describe
Business and Credit Information
Primary Business Address
Street Address Address Line 2 City State ZIP Code
Time at this address
Phone
Fax
Email
Bank Name
Bank Address
Street Address Address Line 2 City State ZIP Code
Type of Account
- Checking
- Savings
- Other
Checking Account Number
Savings Account Number
Other Account Number
Business/Trade References
Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Fax
Email
Type of Account
Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Fax
Email
Type of Account
Company Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Fax
Email
Type of Account
- All invoices are paid 30 days from the date of the invoice.
- Claims arising from invoices must be made with seven working days.
- By submitting this application, you authorize Wild West Guns, LLC to make inquiries into the banking and business/trade references that you have supplied.
- Signature
- Name
  First Last
- Title within the Company
- Date
  MM slash DD slash YYYY
- Signature
- Name
  First Last
- Title within the Company
- Date
  MM slash DD slash YYYY

Business Contact Information