Business Credit Application
The information below will be kept confidential and is requested solely as a basis to begin business with Daron Worldwide Trading, Inc. Please include this application with your initial order, and fill out the resale certificate on the back of this application.
 
  • Allow 72 hours for new credit approval.
  • Minimum opening order $150.
  • Prepayment is required without credit approval.
Date (mm/dd/yyyy)
Business Name
Billing Address
City
State
Zip
Tel (XXX-XXX-XXXX)
Fax (XXX-XXX-XXXX)
Email
Year Business Began
Type of Business
Monthly Sales
Business Entity
 Sole Proprietorship
 Partnership
 Corporation, State of Corp.            
Who authorizes payment?
Tel (XXX-XXX-XXXX)
Customer Contact (Buyer)
Tel (XXX-XXX-XXXX)
 
We certify that the above information is correct. All invoices are due in full according to terms. In the event of any legal or collections actions, we agree to pay costs for collection past due amounts including attorney fees and court losses.
 
Signature (typing your name
indicates a legal agreement)
Title
Date (mm/dd/yyyy)
 
BANK INFORMATION
Bank
Address
Tel (XXX-XXX-XXXX)
Fax (XXX-XXX-XXXX)
Account Number
Officer (Contact)
 
TRADE REFERENCES
We authorize these references to release credit information.
 
Authorization by
Supplier Name
Acct #
Phone (XXX-XXX-XXXX)
Fax (XXX-XXX-XXXX)
City
State
Zip
 
Supplier Name
Acct #
Phone (XXX-XXX-XXXX)
Fax (XXX-XXX-XXXX)
City
State
Zip
 
Supplier Name
Acct #
Phone (XXX-XXX-XXXX)
Fax (XXX-XXX-XXXX)
City
State
Zip
 
RESALE CERTIFICATE
 
I hereby certify,
That I hold a valid seller's permit number     
issued pursuant to the sale and use tax law;
That I am engaged in the business of selling 
 

That the tangible personal property described herein which I shall purchase from; Daron Worldwide Trading, Inc. will be resold by me in the form of tangible personal property; provided, however, that in the event any such property is used for any purpose other than retention, demostration, or display while holding it for sale in the regular course of business, it is understood that I am required by the sales and use tax law to report and pay tax, measured by the purchase price of such property.
 
Description of property to be purchased        
Dated
Signature
At
Title