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On Line Credit Application

Company Name:
Street:
City:
State:

Zip:

Phone:

Fax:
E-Mail:

Please list in the spaces below the full name of the owner(s) or authorized officer(s) if a corporation. List home address & zip code for partnerships or individuals.

1.
2.

Individual    Partnership    Corporation

Type of Business:
Date Started:

Sales/Yr:


1ST TRADE REFERENCE

Company Name:
City & State:
Telephone:
Contact:

2ND TRADE REFERENCE

Company Name:
City & State:
Telephone:
Contact:

3RD TRADE REFERENCE

Company Name:
City & State:
Telephone:
Contact:

BANK REFERENCE

Bank Name:
Account No:
City & State:
Telephone:
Contact:

Do you maintain a line of credit with your bank? Yes No

TERMS: If your account is authorized to purchase on "Open Account", it is understood that all purchases are due and payable thirty (30) days from the date of invoice. Invoices that are past due are subject to a 1.5% service charge.

Person Submitting Application:
Amount of Credit Requested:

I agree to honor all credit terms:    Yes    No

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Franklin Electric Co.
1511-37 N 26th
Philadelphia, PA 19121

215-765-3965
856-963-0541
Fax 215-765-0199


Email us:
inquiry@frankelec.com

Apply:
Credit Application

Proud Members Of:

Electrical Association of Philadelphia
IMARK Group
NAED
NECA