VIDEO 4U CREDIT APPLICATION FORM
 Please print and fill in this form using the command "Print" in the "File" menu. Feel free to make any copies you may need. Please fax the form to (817) 480-0906 or mail it to: DO Technical Services, Inc., 99 Trophy Club Dr.Trophy Club,  Texas 76262, USA, Phone:(817) 490-0905. To return to the previous page please use the "back" button of your browser or the navigation bar at the bottom of this page.

The undersigned company is applying for credit with DO Technical Services, Inc. and agrees to abide by the standard terms and conditions of DO Technical Services, Inc. as printed on this form.

Company name
DBA (if different)
Contact person
Address
Phone Fax
Federal tax ID or Social Security number
Type of business No. of employees
Date business established
Types of products you will purchase
Amount of credit requested $
Are you a:
□       CORPORATION State of incorporation
Names, titles, and addresses of your three chief corporate officers:
1.
 
2.
 
3.
 
Name and address of your resident agent
 
□       PARTNERSHIP
Names and addresses of the partners
 
 
 
 
 
 
□       SOLE PROPRIETORSHIP
Are you sales tax exempt?                                      □       Yes                     □       No
Have you ever had credit with us before?                   □       Yes                     □       No
If yes, under what name?
 
Authorized purchasers
 
 
Purchase order required?                                          □       Yes                     □       No
 
 

 

TRADE REFERENCES
Reference #1           
                               Address
                               Phone
Reference #2           
                               Address
                               Phone
Reference #3           
                               Address
                               Phone
BANK REFERENCES
Bank#1                    Account #
                               Phone
                               Contact person
                               Name of bank
                               Address
 
Bank#2                    Account #
                               Phone
                               Contact person
                               Name of bank
                               Address
 

I represent that the above information is true and is given to induce DO Technical Services, Inc. to extend credit to the applicant. My company and I authorize DO Technical Services, Inc. to make such credit investigation as DO Technical Services, Inc. sees fit, including contacting the above trade references and banks and obtaining credit reports. My company and I authorize all trade references, banks, and credit reporting agencies to disclose to DO Technical Services, Inc. any and all information concerning the financial and credit history of my company and myself.
Authorized signature:
Printed name:
Title: Date:
 
GENERAL TERMS AND CONDITIONS AND PERSONAL GUARANTEE
1.       Bills are sent on the first day of each month. 
2.       All bills become payable in full on the 11th day of the month and if not paid by the end of the month are considered past due.
3.       A service charge of 2% per month will be added to all amounts billed if not paid by the end of the month.
4.       No additional credit will be extended to past due accounts unless satisfactory arrangements are made with our credit department.
5.       PERSONAL GUARANTEE: If the credit customer is a corporation, then those signing this application, whether signing as an officer or not, personally guarantee payment for all items purchased on credit by the corporation.

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