Credit Application for a Business Account

Establishing Identity

Are you an existing Carolina Hosiery Customer?

Yes No

If yes what is your customer #:

(Don't know it? Please list Company Name/Location below)

Are you a member of a Buying Group?

Yes No

If yes which one:

If you are an Existing Customer with Carolina Hosiery then you may STOP HERE unless any Contact/Business information has changed. New applicants please continue below.

Preferred Password:

(at least 8 characters)

Confirm Password:

Business Contact Information

Title

* Company name:

* Phone:

Fax:

* Email:

* Registered company address:

* City:

* State:

* ZIP Code:

* Number of Years in Business:

Number of Stores (if more than one):

* Number of Employees:

*Primary Contact:

Company Website:

* Store Locations:

Business and Credit Information

* Owner:

* Phone:

Are Premises Leased:

* How long at current address?

* Federal Tax ID #:

D&B# (if available):

* Bank name and Branch:

Bank address:

* Bank Phone #:

* City:

* State:

* ZIP Code:

Type of account:

Account number:

Bank Contact Officer:

Phone # of Officer:

Business/Trade References

Company name:

Address:

City:

State:

ZIP Code:

Phone:

Fax:

Email:

Type of account:

Company name:

Address:

City:

State:

ZIP Code:

Phone:

Fax:

Email:

Type of account:

Agreement/disclaimer

All invoices are to be paid 45 days from the date of the invoice.
Claims arising from invoices must be made within seven working days.
By submitting this application, you authorize Carolina Hosiery Mills Inc., to make inquiries into the banking and business/trade references that you have supplied.
Carolina Hosiery Mills is a Wholesale Operating Business that sells to Legitimate Store Owners. If you are interested in purchasing our products for personal use please click the RETAIL portion of our website for ordering.

Signatures

Title:

Date:

Title:

Date:

Credit Application for a Business Account

*Establishing Identity*

Business Contact Information

Business and Credit Information

*Business/Trade References*

Agreement/disclaimer

Signatures

Establishing Identity

Business/Trade References