ON-LINE CREDIT PRE-APPLICATION

Employment Application | Credit Card Authorization (Commercial) | Credit Card Authorization (Private) | Credit Application

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Account Name *

Number of Vehicles

Street Address *

City *

State *

Zip *

Phone Number *

Fax Number

First Name *

Last Name *

Credit Line Required

D & B Rated

Years in Business

Tax Exempt *

Yes
No

(please supply form)

Type

Individual
Corporation

PRINCIPALS

Full Name *

Address *

Full Name *

Address *

Bank Name *

Account Number *

Contact Name *

Street Address *

City *

State *

Zip *

Phone Number *

REFERENCES

Full Name

Address

Phone

Full Name

Address

Phone

Full Name

Address

Phone

IN ORDER TO INDUCE N.T.S. INC. TO EXTEND CREDIT TO CUSTOMER AND DELIVER GOODS TO CUSTOMER ON CREDIT, CUSTOMER AGREES THAT ALL BLIGATIONS ARISING FROM THE EXENTION OF CREDIT BY N.T.S. INC., SHALL BE GOVERNED BY NEW JERSEY STATE LAW AND CUSTOMER FURTHER AGREES THAT BY UBMITING THIS CREDIT APPLICATION CUSTOMER CONSENTS TO SUBMIT GENNERALLY TO THE JURISDICTION OF THE COURTS PF THE STATE OF NEW JERSEY. CUSTOMER ALSO CONSENTS TO THE RELEASE OF ANY CREDIT INFORMATIN TO N.T.S, INC.

Please Note: All applications for credit require a signed application, which will be mailed to you After receiving this on line pre-application form. Thank-you.

I Agree *