Get the Support You Need to Keep Rolling

Credit Application Form

Phone: (201) 935-7290

158 East Passaic Avenue, Rutherford, NJ 07070

Email: Nick@NicksTowingService.com

SECTION 1: BUSINESS INFORMATION


SECTION 2: BILLING INFORMATION


SECTION 3: BANKING INFORMATION


SECTION 4: TRADE REFERENCES



SECTION 5: TERMS & CONDITIONS AGREEMENT

I/We hereby request that credit be extended to our company and affirm that the information provided herein is true, complete, and accurate. We authorize Nick’s Towing Service, Inc. to contact credit references and banks listed above to obtain information regarding our creditworthiness.


By signing below, I/We agree to the following terms:

  • Standard terms are Net 30 days from the invoice date, unless otherwise specified in writing.
  • A 1.5% monthly finance charge (18% annual) will be applied to all past due accounts.
  • All collection costs, including attorney fees, will be borne by the applicant if the account becomes delinquent.