RMS Dealership Application

RMS Wholesale Application/Individual Accounts

NUMBER OF YEARS IN BUSINESS :

CONTACT NAME :

COMPANY/ORGANIZATION :

COMPANY ADDRESS :

CITY/STATE/ZIP :

COMPANY PHONE :

EMAIL :

501C3/STATE/FEDERAL ID# :

For Business Dealer / Wholesale Accounts

Standard open account charge terms are Net 30 days.

BUSINESS TYPE

CORPORATION PARTNERSHIP PROPRIETORSHIP

YEARS IN BUSINESS :

RESPONSIBLE PARTY :

TITLE (i.e. president, treasurer) :

FEDERAL ID# :

FOR CONSIDERATION, ALL OPEN-CHARGE ACCOUNTS REQUIRE ONE (1) BANK REFERENCE AND TWO USA TRADE REFERENCES (INTERNATIONAL THREE) (NOT CREDIT CARD ACCOUNTS).

	BANK REFERENCE
BANK NAME :
ADDRESS :
CITY/STATE/ZIP:
PHONE :
ACCOUNT # :

	TRADE REFERENCE 1
NAME :
ADDRESS :
CITY/STATE/ZIP:
PHONE :
ACCOUNT # :

	TRADE REFERENCE 2
NAME :
ADDRESS :
CITY/STATE/ZIP:
PHONE :
ACCOUNT # :

	TRADE REFERENCE 3 (International only)
NAME :
ADDRESS :
CITY/STATE/ZIP:
PHONE :
ACCOUNT # :

IMPORTANT: BY SUBMITTING THIS FORM, YOU RELEASE CREDIT INFORMATION ON YOUR ACCOUNTS TO CANINE SPECIALTY SERVICES.