Credit Application

Thank you for your interest in Ideal Quilting products and services. If you have any questions filling out the application, please do not hesitate to call us any time (8am - 5pm EST) at 1.877.748.8402

Select your company's geographic region *
Amount of credit line requested: $ Dollars
Currency CDN Dollar US Dollar
Company Information
Company Name *
Trading As:
Sold-To Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Company Type Sole Proprietorship Partnership/LLC Corporation Subsidiary
Number of Years in Business
Phone * - (###) - ### ####
Fax * - (###) - ### ####
D&B #
VAT Registration
Website
Customer Class *
Bill-To Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Ship-To Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Owner(s) or Corporate Officer(s)
Owner/Officer #1
Name First Last
Title
Percentage of Ownership
Phone - (###) - ### ####
Owner/Officer #2
Name First Last
Title
Percentage of Ownership
Phone - (###) - ### ####
Owner/Officer #3
Name First Last
Title
Percentage of Ownership
Phone - (###) - ### ####
Accounts Payable Information
Contact Name * First Last
Phone - (###) - ### ####
Fax - (###) - ### ####
Email
Bank References (Please enter at least 1)
Bank #1
Bank Name *
Contact
Phone * - (###) - ### ####
Account Number *
Fax - (###) - ### ####
Email
Bank #2
Bank Name
Contact
Phone - (###) - ### ####
Account Number
Fax - (###) - ### ####
Email
Trade/Factor References (Please enter at least 2)
Reference #1
Vendor Name *
Contact First Last
Phone * - (###) - ### ####
Fax * - (###) - ### ####
Email
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Reference #2
Vendor Name *
Contact First Last
Phone * - (###) - ### ####
Fax * - (###) - ### ####
Email
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Reference #3
Vendor Name
Contact First Last
Phone - (###) - ### ####
Fax - (###) - ### ####
Email
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Please Enter Any Additional Comments Here
My signature below is an authroization for your financial institutions to release references to Ideal Quilting. Submitting my name in the field below, I intend it to be my signature, bind the Company to the terms and conditions provided, and agree that what is entered is correct to the best of my knowledge.
Enter your name as Authorized Signature *
Title
Email Address *
Phone * - (###) - ### ####
Date / MM / DD YYYY

Credit Application

Credit Application

Company Information

Owner(s) or Corporate Officer(s)

Owner/Officer #1

Owner/Officer #2

Owner/Officer #3

Accounts Payable Information

Bank References (Please enter at least 1)

Bank #1

Bank #2

Trade/Factor References (Please enter at least 2)

Reference #1

Reference #2

Reference #3