COMMERCIAL CREDIT APPLICATION
Acct # Fuel Propane Lubricants
The following information must be provided to open an account with Beaudry Oil Company.
The information provided will be used only for credit evaluation purposes. All accounts will be
verified by using a credit report supplied by CSC Credit Service. Beaudry Oil credit terms will
be determined on an individual basis. Finance charges are computed at a rate of 1.5% per
month or 18% per year on past due balances.
Company Name Phone #
Fax # E-mail
Federal Tax ID #
Address City/Zip
Owner's Name Yrs. In Business Home Ph.#
Owner's Address City/Zip
Owner's SSN # Driver's License #
Name of Bank Checking Acct. #
Address City/Zip Ph.#
Business References
Company Ph.#
Address City/Zip
Company Ph.#
Address City/Zip
Company Ph.#
Address City/Zip
I, the undersigned, hereby agree that in the event of default in the payment of any amount due, and if this account is placed in the hands of a collection agency or attorney for collection or legal action, to pay an additional charge equal to the cost of collection including collection agency and attorney fees and court costs incurred.