Credit Application

Reference 1

Reference 1: Name/Company*

Reference 1: Phone*

Reference 1: Email*

Reference 2

Reference 2: Name/Company*

Reference 2: Phone*

Reference 2: Email*

Reference 3

Reference 3: Name/Company*

Reference 3: Phone*

Reference 3: Email*

Amount of credit requested*

Payment terms are net 15 days*

(MINIMUM INVOICE $25.00) Due to the cost of extending credit terms, processing invoices and collections, our minimum invoice amount is $25. You can pay for your deliveries at the time of shipment with Paypal, Credit Card, Debit Card or E-Transfer if you will be using our services for less than the minimum

I understand the minimum invoice disclosure*

(Electronic Signature) By selecting the "Submit" button after signing, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement *

PC: Use mouse to sign in the box
Device: Use stylist pen or finger to sign in box

By providing the electronic signature, you are hereby authorizing AAA Express to obtain bank and trade references through AAA Express' credit rating process. All information obtained will be held in the strictest of confidence.*

I agree

Note that in order for the credit application to be processed, the person signing the application must have signing authority with the company’s financial institution.*

I understand

Signature*

Name*

Date of Signature*

Title (within company)*

Email address*

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