Skip to content
Products search
Sign In
Sign In
0
Cart
Home
Our Products
About us
Contact us
Resources
X
Credit Application
Please enable JavaScript in your browser to complete this form.
Contact Information
How would you best describe yourself/your company?
*
Individual
Individual
Sole Proprietor
Corporation
LLC
LLP
Business Type
*
Architect
Architect
Builder / Developer
Commercial Contractor
Deck Installer
Designer
Finish Carpenter
Flooring Store / Contractor
General Contractor
Remodeler
Other
Full Legal Name of Individual or Company
*
Mailing Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Year Business was Established.
Email
*
Phone
Driver License Number
*
Authorized Charger
Purchase Orders Required
*
Yes
No
Do you re-sell products
*
Yes
No
Re-Seller Certificate (if applicable).0
Click or drag a file to this area to upload.
Agreement to Terms and Conditions
*
Yes
No
The customer acknowledge(s) & agree(s) to the terms of this agreement. By executing this credit application / sales agreement, the undersigned jointly and severally agree(s) that customer will comply with all provisions hereof, and will pay all sums and charges on this or any past, present or future account opened and/or maintained in any account name, regardless of the capacity in which signed. The customer acknowledge(s) that the terms and conditions on the reverse side are part of this agreement. The customer grant(s) Unique Wood Products permission to investigate/ verify credit information. Applicant and its agent(s) and guarantor(s) hereby authorize any and all banks, financial institutions, and other credit reporting agencies to furnish credit information to Unique Wood Products to be used for the purpose of extending credit to the applicant. Electronic copies of this application will be considered the original document.
Principal / Owner Legal Name
*
Signature
*
Clear Signature
Date Signed
*
UNCONDITIONAL PERSONAL GUARANTY
*THIS IS NOT A PERSONAL OBLIGATION; DO NOT USE CORPORATE OR OTHER ENTITY TITLES*
SOCIAL SECURITY NUMBER
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Personal Guarantor Terms
Signature
*
Clear Signature
I have read, understand and agree to all terms stated on this credit application
*
Date Signed
*
Email
Submit