That Thread Shop, Inc. 
PO BOX 325
Lemont, IL 60439
PHONE 708-301-3172
www.thatthreadshop.com

APPLICATION FOR CREDIT
Please complete the following form, print it, and mail it to the address above.

Name of Business:
Years in Business:
Billing Address:
City:    State:    Zip:
Phone:    Fax:
Email:
Website:
Shipping Address:
(If Different than Mailing Address Above)
City:    State:    Zip:
Owner's Name:
Home Phone:
Home Address:
City:    State:    Zip:
Accounts Payable Contact:Phone:
(If different than owner.)
Name of Employee Authorized for Order Placements:
BUSINESS REFERENCES (OPEN ACCOUNTS ONLY)
Name Your Acct. # Phone or Fax#
1.
2.
3.

 

Bank Name:
Acct. #:     PHONE/FAX:
THIS CREDIT APPLICATION IS SUBMITTED IN WRITING FOR THE PURPOSE OF OBTAINING MERCHANDISE FROM YOU ON CREDIT. ALL INFORMATION IS TRUE AND CORRECT.

I DO HEREBY AGREE TO PERSONALLY GUARANTEE ANY AND ALL DEBTS INCURRED BY THE ABOVE CAPTIONED COMPANY FROM THAT THREAD SHOP, INC. IN ADDITION, I UNDERSTAND AND AGREE TO PAY ACCORDING TO THAT THREAD SHOP, INC. TERMS. ALL ACCOUNTS OVER 30 DAYS OLD BEAR INTEREST AT THE RATE OF 1 ˝% INTEREST PER MONTH. I ALSO AGREE TO PAY ANY AND ALL EXPENSES OF COLLECTIONS, INCLUDING ATTORNEY’S FEES AND COST OF LITIGATION SHOULD MY ACCOUNT BECOME DELINQUENT AND THAT THREAD SHOP, INC. DETERMINES SUCH ACTION IS NECESSARY.

X Date:
   Signature of Principal and Title
  
Complete this section for charges or to guarantee payment on credit card account.
Debit  Credit    Credit Card Number:
Expiration Date:     Verification #
Name on Card:
Address: (If different from above)
Signature of Card Holder:______________________________________________