Business Credit Reports

Company Information

Company Name

Address

City

State/Province

Zip/Postal Code

Country

Primary Business Address (if different)

Primary Business City

Primary Business State

Primary Business Zip/Postal Code

How long at current address?

Date business commenced

Phone

Fax

Legal Form (Corporation, Partnership, or Proprietorship)

Contact Information

First Name

Last Name

Title

Phone

Accounts Payable Contact Information

Contact

Phone

Fax

If Yes, email address if different

Would you like your invoices emailed? (Yes/No)

Bank References

Bank Name

Address

City

State

Zip

Contact

Phone

Fax

Account #

Type of Account (Savings, Checking, Other)

Credit Reference #1

Company

Address

City

State

Zip/Postal Code

Phone

Fax

Credit Reference #2

Company

Address

City

State

Zip/Postal Code

Phone

Fax

Credit Reference #3

Company

Address

City

State

Zip/Postal Code

Phone

Fax

Request

Requested Amount

Comments (400 characters max)

Supporting Documentation

Please upload your Credit References

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Uploaded Documents

Terms

General:
Any proposal or offer to sell from Mechanical Power, Inc., (“MPI” or “Seller”) is subject to the terms and conditions listed below:

Credit Limit:
To establish an account with MPI, a credit application must be completed and submitted for approval and a credit limit established. A minimum of three (3) positive credit references must be confirmed by Mechanical Power before a credit application will normally be approved. Upon approval, purchases may be made to the set limit in accordance with the payment terms noted below. Mechanical Power reserves the right to change credit limits at any time based on the customer’s payment history.

Prices:
The most recent published price will supersede all previous prices unless agreed upon in writing by Mechanical Power.

Minimum Orders:
In placing an order with Mechanical Power, the customer acknowledges awareness and acceptance of these general terms and conditions of sale. Orders are considered accepted when confirmed with our standard sales order acknowledgement form. There is a minimum order amount of $75.00 each shipment unless otherwise agreed upon.

Taxes:
All taxes are the responsibility of the purchaser. No sales, user, retailer’s occupation, service occupation, service use, or any other form of taxation will be borne by MPI.

Agreement:
1. All invoices are to be paid 30 days from the date of the invoice.
2. Claims arising from invoices must be made within ten (10) working days.
3. By submitting this application, you authorize Mechanical Power, Inc. to make inquiries into the banking and business/trade references that you have supplied.

I accept the above terms.

Please Sign Below

Using a touchpad or mouse, please sign in the area below. When finished signing, please click the Save Signature.

Submit the Request

By clicking 'Submit', I/We authorize Mechanical Power, Inc. or its agent to obtain a credit report for the purpose of establishing, maintaining or enforcing a credit relationship. Upon approval of credit, I/We agree to pay our account according to the terms granted and I/We acknowledge that I/We have read and fully understand this application.

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