Credit Application for Lamers Enterprise
Go here to download Credit Application.
When you are done, please either email to us or fax to our office at: 808-845-5592.
| | | BUSINESS CREDIT APPLICATIONS | | | |
| Lamers Enterpris, Inc | | | | | | |
| 251 Puuhale, Road, | | | | | For fast credit Approval |
| Honolulu, Hi 96819 | | | | | Please fax to: | |
| PH: 808-845-9365 | | | | | 808-845-5592 | |
| Attn: Credit Division | | Sale Rep | Ernie Kim |
| | | | | | | | | |
| Type of Business | _____________________________________________ | | |
| Phone number | _____________________________________________ | | |
| Fax number | _____________________________________________ | | |
| | | | | | City | State | Zip | |
| Billing address | _________________________________________ | __________________ |
| Shipping address | _________________________________________ | __________________ |
| | | | | | | | | |
| Type of ownership | __ Corporation | __ Partnership | __ Sole Proprietor | |
| | | __ Government | __ Non- Profit | __ Others_________________ |
| Years in business | ________ | Years | Tax Exemption? ____ yes, ____ No, | |
| Parent company's name (If different than above): | | | | |
| Address | | ________________________________________________________________ |
| | | | | | City | | State | Zip |
| | | | | BANK REFERENCE | | | |
| Bank name | _________________________ | ________________ | ________________ | __________________ |
| Account # | _________________________ | Phone number | Fax number |
| Contact at bank | _________________________ | | | | |
| | | | | | | | | |
| Bank name | _________________________ | ________________ | __________________ |
| Account # | _________________________ | Phone number | Fax number |
| Contact at bank | _________________________ | | | | |
| | | | OPEN ACCOUNT REFERENCE- Locals only | | |
| Name of business | | | | ________________ | __________________ |
| | | | | | Phone number | Fax number |
| Address | | ________________________________________________________________ |
| | | | | | City | | State | Zip |
| Name of business | | | | ________________ | __________________ |
| | | | | | Phone number | Fax number |
| Address | | ________________________________________________________________ |
| | | | | | City | | State | Zip |
| Name of business | | | | ________________ | __________________ |
| | | | | | Phone number | Fax number |
| Address | | ________________________________________________________________ |
| | | | | | City | | State | Zip |
| | | | | | | | | |
| Authorized Signature | _________________________ | Date | _________________________ |
| Print name | _________________________ | Title | _________________________ |
| Inter Office use only | Date approved | Date | _________________________ |
| Credit limit $ | _________________________ | Note | _________________________ |