Apply for Credit Online

Please complete the form below with accurate information and click the submit button. You will receive an email confirmation once your application has been submitted.

Business Name(Required)

FEIN/SS#

Invoice Address(Required)

Street Address(Required)

Corp(Required)

Phone(Required)

Fax(Required)

Type of Business(Required)

Date Established(Required)

Officer/Owner(Required)

Title(Required)

Bank's Name

Officer

Bank's Phone

Account #

Trade Credit References

Name

Phone

Address

City & ZIP

Accounts Payable Contact(Required)

Email(Required)

Purchase Order Required(Required)

Choose an Option(Required)

Authorized Purchasers(Required)

THE UNDERSIGNED HAVE READ AND EXECUTED THIS MASTER RENTAL AGREEMANT. LESSEE SPECIFICALLY ACKNOWLEDGES AND AGREES TO ALL TERMS AND CONDITIONS HEREIN, AND SPECIFICALLY ACKNOWLEDGES THAT LESSOR HAS THE RIGHT TO CONFESS JUDGEMENT AGAINST LESSEE AS STATED HEREIN. IN CONSIDERATION FOR GRANTING OF CREDIT BY BOOMCO, INC, WE (I) AGREE THAT THE INFORMATION PROVIDED HEREIN BY US (ME) IS ACCURATE AND THAT BOOMCO INC. WILL RELY ON SAID INFORMATION IN GRANTING CREDIT. IF THIS APPLICATION IS APPROVED AND CREDIT IS EXTENDED, WE (I) AGREE TO PAY ACCORDING TO THE TERMS OF PAYMENT OFFERED, TERMS BEING NET 30 DAYS. WE AGREE TO PAY INTEREST OF 1.5 % PER MONTH SHOULD OUR ACCOUNT BECOME DELINQUENT AND TO PAY ALL COST OF COLLECTION INCLUDING REASONABLE COURT COST AND ATTORNEY’S FEES.

Authorized Signature(Required)

Date(Required)

Phone

This field is for validation purposes and should be left unchanged.

Apply for Credit Online

Please complete the form below with accurate information and click the submit button. You will receive an email confirmation once your application has been submitted.

Trade Credit References

Products

TEG Lease Support

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