Credit Application - Twin City Seed Company

Wholesaler/Retailer Credit Application

Relationships with our wholesale and retail partners are what have made Twin City Seed Co. great! We’re always on the lookout for new partners in new regions that share our value for service and high-quality seed.

Fill out this form to start the Credit Application process or download the pdf below and email it to us.

Contact Name

Contact Email

Contact Phone

Contact Fax

Company Information

Company Name

Billing Address

Billing City

Billing State

Billing Zip Code

Type of Business

Date Business Began

Federal Tax ID

State Resale ID

Payable Contact Information

Payable Contact Name

Payable Contact Position

Owner Officer

Title

Payable Cell Phone

Payable Address

Payable City

Payable State

Payable Zip Code

Trade References

REFERENCE 1 BUSINESS NAME

Reference 1 Contact Name

Reference 1 Phone

Reference 1 Address

Reference 1 Fax

Reference 1 Annual Purchases

REFERENCE 2 BUSINESS NAME

Reference 2 Contact Name

Reference 2 Phone

Reference 2 Address

Reference 2 Fax

Reference 2 Annual Purchases

REFERENCE 3 BUSINESS NAME

Reference 3 Contact Name

Reference 3 Phone

Reference 3 Address

Reference 3 Annual Purchases

Reference 3 Fax

Bank References

Bank Name

Bank Account #

Bank Address

Banker Name

Banker Phone

Banker Fax

Terms

Credit terms are net 30 day of invoice. Invoices not paid within 30 days of invoice date will be assessed a 1.5% per month finance charge. All accounts over 60 days will be shipped on a C.O.D. basis and relinquish their privilege to credit until satisfactory credit is restored. I/We, understand and agree that the information provided is for the purpose of obtaining merchandise on credit. I/We further understand and agree that all accounts or monies due to Twin City Seed shall be paid in accordance with the Credit Terms stated above and agree to pay all reasonable costs of collection, in addition to any court costs and/or attorney fees incurred. I/We authorize investigation of credit history and credit references. All information will be kept confidential.

You verify that the information sent in this form is true.

By clicking this I am verifying that I understand the Terms and Conditions of this application, and payment terms.

Guaranty

Guarantor Digital Signature

Date Prepared

You verify that the information sent in this form is true.

I verify that the information sent in this form is correct and true to the best of my knowledge.

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