Fox Lumber Sales, Inc. Credit Application Salesperson:_______
#2 Riverbend Court, P.O. Box 1000, Hamilton, Montana 59840 - Phone: (406)363-5140 Fax: (406)363-6774
Corporate Applicants:
Full Legal Name: __________________________  Place of Incorporation: _____________________________
Officers: Fed I.D.#: _______________________________________
President: ________________________________  Secretary: ______________________________________
Vice-President: ____________________________  Treasurer: ______________________________________
Other: ___________________________________  Other: _________________________________________
Mailing Address: Ship-to Address:
P.O. Box: ____________ City: ______________ Street: _________________ City: ______________
Street: ______________ State: _____________ Street: _________________ State: _____________
Street: ______________ Zip: _______________ Other: _________________ Zip: _______________
Individual Applicants (include all owners)
Full Legal Name: Street Address: City: State: Zip:
_________________ ________________________ ______________ _______ _______
_________________ ________________________ ______________ _______ _______
_________________ ________________________ ______________ _______ _______
All Applicants:
Phone: _____________ Fax: _________________ Web Site: _______________ Email: _______________
Bank: ______________ Address: ______________ Account: _______________ Phone: _______________
_____________________ Contact: _______________ Fax: _________________
Other Business Names: _____________________ _____________________ _____________________
Is Applicant?  yes  no Check if Applicable: Subsidiary of another business___ Related to another business___
Explain: _______________________________________________________________________________________
__________________________________________________________________________________
Purchasing Agent: __________________________ Payables Contact: ______________________________
Phone: _____________ Fax: _________________ Phone: _________________ Fax: _________________
Type of Business: ____________________________________________________ Year Established: _______
Trade Credit References:
Name: _____________ Address: ____________________ Phone: ________________ Act.#: _________________
_____________________________ Fax: __________________ Limit: $ _______________
Name: _____________ Address: ____________________ Phone: ________________ Act.#: _________________
_____________________________ Fax: __________________ Limit: $ _______________
Name: _____________ Address: ____________________ Phone: ________________ Act.#: _________________
_____________________________ Fax: __________________ Limit: $ _______________
Important: Read and Sign
The undersigned certifies that the above information is true and accurate; gives Fox Lumber Sales, Inc. authority to conduct a credit inquiry; and binds applicant to abide by any credit and payment terms extended to applicant. Applicant further agrees to pay all collection charges, including attorney fees and costs; and grants to Fox Lumber Sales, Inc. a security interest in all goods it provides until paid in full.
Authorized Signature ____________________________________________________________________________
Position: _______________________________________ Date: _______________________________________
Personal Guarantee:
In consideration for any credit extended, I hereby absolutely and unconditionally guarantee the full payment of all indebtedness to Fox Lumber Sales, Inc. whether by acceleration or otherwise, that applicant has or may incur, by reason of any goods purchased by applicant.
Signature: _______________________________________ Date: _______________________________________
Signature: _______________________________________ Date: _______________________________________
1. Print a copy of this page.
2. Complete the form, sign and date it.
3. Fax the completed form to (406) 363-6774.