On-Line Credit Pre-Application

Tom Prince Jr. tomp@nickstowingservice.com

Nick’s 24 Hour Towing Services


On-Line Credit Pre-Application

Account Name		Number of Vehicles
Address		Phone Number
		Fax Number
City		State Zip Code
Contact Name		Credit Line Request
D & B Rated
Years In Business	Tax Exempt # (Please supply form)
Corporation - Date Incorporated			Individual
Parent Company
Principals
Full Name: Address: Phone:
Full Name: Address: Phone:
Bank Name		Account #
Address		Contact Name
		Phone Number
Trade References
Full Name: Address: Phone:
Full Name: Address: Phone:
Full Name: Address: Phone:
* IN ORDER TO INDUCE N.T.S. INC. TO EXTEND CREDIT TO CUSTOMER AND DELIVER GOODS TO CUSTOMER ON CREDIT, CUSTOMER AGREES THAT ALL OBLIGATIONS ARISING FROM THE EXENTION OF CREDIT BY N.T.S. INC., SHALL BE GOVERNED BY NEW JERSEY STATE LAW AND CUSTOMER FURTHER AGREES THAT BY SUBMITING THIS CREDIT APPLICATION CUSTOMER CONSENTS TO SUBMIT GENNERALLY TO THE JURISDICTION OF THE COURTS PF THE STATE OF NEW JERSEY. CUSTOMER ALSO CONSENTS TO THE RELEASE OF ANY CREDIT INFORMATIN TO N.T.S, INC.
Please Note: All applications for credit require a signed application, which will be mailed to you After receiving this on line pre-application form. Thank-you.