Crosby & Overton- Environmental Services - Waste Treatment and Disposal Crosby & Overton- Environmental Services - Waste Treatment and Disposal
Phone: 562-432-5445
Fax: 562-491-2181
Credit Application
Accounts Payable Contact:
Your Email Address:
Company Information
Company Name:
Company Address:
City: State: Zip:
Telephone:
Fax:
Type of Business:
Years in Business:
Partners or Corporation Officers
Name
Title
Telephone
 
Bank References
Bank Name & Address
Account Number (s)
Contact Name & Phone
Trade References
(must include fax numbers)
1.
Ph:
fax:
2.
Ph:
 fax:
3.
Ph:
 fax:
4.
Ph:
 fax:
5.
Ph:
 fax:
 

I agree to pay all invoices on time or pay 1.5% per month service charge on past due amounts, and pay legal costs and attorney fees if collection of account is necessary. I authorize Crosby & Overton, Inc., it's Divisions and Subsidiaries to contact any or all of the above listed banks and trade references for credit verification purposes.

I certify that the above information is true. This information is to be used only for opening an account.