America's Phone Guys Credit Application

SERVING PORTLAND OR | VANCOUVER WA

New Account Information / Credit Application

Complete and sign all sections applicable to your organization. The Bank Information and Trade References only need to be completed if America’s Phone Guys will be renting or leasing equipment to your company.
Please do not leave fields empty. If not applicable, write “N/A”.
If your organization is a retailer or sales tax exempt, email a copy of your exemption certificate to AR@AmericasPhoneGuys.com OR fill out the Certificate of Resale / Tax Exempt section below.”
Our terms are NET 10 with the exception of VoIP Phone Service invoices which are automatically paid by credit card when each months charges are generated.
Any claims arising from invoices must be made within 7 working days of invoice receipt.

*Inquiries will be answered within business hours. All quote requests made after business hours will be responded the following business day.

General Information

Legal Name of Organization*

Parent Company (if subsidiary)*

Federal Tax ID*

Organization Type:*

Sole Proprietorship

Partnership

Corporation

LLC

Government / Public

Type of Business*

Year Established*

Number of Locations*

At Present Location Since*

Business Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Main Phone*

Main Fax*

Email*

Acct. Payable Contact*

Acct. Payable Email*

Acct. Payable Phone*

Acct. Payable Fax*

Invoice Mailing Address*

Same as Business Address

Mailing Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Shipping*

Same as Business Address

Same as Invoice Mailing Address

Shipping Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Officers / Principals Information

Name*

Title*

Name*

Title*

Name*

Title*

Bank information

Bank Name*

Contact Name*

Account #*

Phone*

Fax*

Certificate of Resale / Tax Exempt (Resellers and Tax Exempt Only)

THE UNDERSIGNED, HEREINAFTER “PURCHASER”, HEREBY CERTIFIES THAT ALL TANGIBLE PERSONAL PROPERTY PURCHASED BY PURCHASER FROM AMERICA'S PHONE GUYS, 1503 SE 103RD AVE., VANCOUVER, WASHINGTON 98664, IS FOR THE PURPOSE OF RESALE. PURCHASER ASSUMES LIABILITY FOR PAYMENT OF ANY RETAILER’S OCCUPATION TAX, SALES TAX, SERVICE OCCUPATION TAX, USED TAX, OR ANY OTHER REGIONAL AND / OR LOCAL TAX IMPOSED ON SALES AND / OR PURCHASES WITH RESPECT TO RECEIPTS FROM THE SALE OF THIS PROPERTY TO USERS OR CONSUMERS, OR FOR THE PURCHASER’S OWN INTERNAL USE OR CONSUMPTION. IF SUCH PROPERTY, OR ANY PORTION THEREOF, PURCHASED PURSUANT TO THIS CERTIFICATE IS LATER DETERMINED TO BE SUBJECT TO SUCH TAX, PURCHASER AGREES TO PAY SUCH TAXES, DIRECTLY TO THE RESPONSIBLE TAX AUTHORITY AS REQUIRED.

Organization Name*

Contact Name*

Account #*

Fax*

Organization Name*

Contact Name*

Account #*

Fax*

Organization Name*

Contact Name*

Account #*

Fax*

Organization Name*

Contact Name*

Account #*

Fax*

Trade References

State*

Registration / Certificate #*

State*

Registration / Certificate #*

State*

Registration / Certificate #*

Legal Name of Organization*

Business Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Customer Authorization / Terms of Sale

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. Furthermore, I hereby authorize the financial institutions listed in this credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein.

I understand the terms of America's Phone Guys invoices and am noting any deviation from the net 10 terms that were agreed upon here*

Officer's Signature*

Title*

Date*

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