Olympic Industries, LLC

Account Form

Please complete the following form completely and accurately.

Olympic Industries, LLC has the following terms of agreement for account setup:

1. All invoices are due NET 30 from the date of the invoice.

2. Claims arising from invoices must be made within seven (7) working days.

3. By submitting this application, you authorize Olympic Industries, LLC to make inquiries into the banking and business/trade references that are supplied.

If you have any questions or concerns to these terms, please contact our office at 901-754-7754.

We look forward to working with you!

Company Name *

Contact Name *

First

Last

Contact Phone *

Contact Email *

Registered Company Address *

(Street, City, State, Zip Code)

Date Business Commenced

Business Type *

If other, please explain...

Billing Address *

Billing City *

Billing State *

Billing Zip Code *

Accounts Payable Contact *

First

Last

Accounts Payable Phone *

Accounts Payable Email *

Bank Name *

Bank Phone *

Bank Address *

(Street, City, State, Zip Code) *Please include contact name if applicable.

Type of Account *

Account Number *

Trade/Business Reference 1 *

Please include contact name, company address, company phone number and type of account for business reference.

Trade/Business Reference 2 *

Please include contact name, company address, company phone number and type of account for business reference.

Trade/Business Reference 3 *

Please include contact name, company address, company phone number and type of account for business reference.

Agreement *

All invoices are due NET 30 days from the date of the invoice.
Claims arising from invoices must be made within seven (7) working days.
By submitting this application, you authorize Olympic Industries to make inquiries into the bank and business/trade references that you have supplied.

Please select to confirm.

Signature *

Please include name and title of person responsible for submitting this account application.

Date *

XX/XX/20XX

Phone

901-754-7754

Address

8596 Macon Road | Cordova, TN 38018

E-Mail

info@olympicindustries.net