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Please allow 3-4 weeks for approval depending on responsiveness of references. Questions about this form, please call Carrie Hoyt, accounting clerk, 888-438-5311.

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Trade name of business:
Type of business:
Year established:
Mailing Address:
City: State: Zip:
Accounts Payable (A/P) Contact:
Email Address for A/P Contact:
Mailing address of A/P Contact if different from above:
Sales/Marketing Contact Contact:
Email Address for Sales/Marketing Contact:
All other names associated with this business: (DBA's, ADA, FAKA, or other trade names, registered or unregistered)
Name of any parent company or holding company associated with this business:

Business Type

Corporation, organized in the State of . List name, home address and telephone of top 3 officers/shareholders.
Partnership. List name, home address and telephone of managing or majority partners.
Sole Proprietorship. List name, home address and telephone of owner.
LLC. List name, home address and telephone of managing or majority members.
Name/Title Home Address Phone Number Email Address

Primary Bank Reference

Contact Name:
Email Address:
Account #'s:

Sales Activity Information

Are you currently a Bison Inc. Dealer in good standing? Yes  No

Sales Team Total FTEs: Current Annual Sales (all products) $

Geographic Territory Covered by Sales Team (list):

Markets Actively Called On by Sales Team

Park and Rec Departments Architects School Districts
Universities and Colleges Contractors Military
Federal Agencies State Agencies
Other (specify):

List all current lines of benches, trash receptacles, bike racks and outdoor sports equipment that you currently market:

Desired Credit Limit with BRP by bison LLC:


Expected Average Annual Sales of BRP by bison LLC products:


Credit References:

Please list at least four (4) trade references with at least two years of business activity with your company and whose sales to you are at least at the same level as your desired credit limit. Please provide all contact information.
Company Name Address Phone Number Fax

Any Comments:

Information release
In making this application the applicant understands that an investigative report may be made wherein information may be obtained through personal interviews with third parties including references, business associates, family and friends. The applicant authorizes this investigation and hereby grants permission for banking and trade references to release information pertinent to the determination of the applicant's credit worthiness.
Credit terms
The terms of this account shall be that all invoices are due and payable in full within 30 days from their date of shipment. On any invoice open after 30 days, the applicant agrees to pay interest at the rate of 1 1/2% applied monthly (18%APR) unless prohibited by local law wherein the maximum allowable rate will apply.
Account guarantee
The undersigned personally agrees to pay for all goods and services charges to this account in full upon written demand from the Creditor. The undersigned further agrees to bear the cost of all legal and related fees incurred by Creditor in the event this account becomes past due and must be submitted for collection.

Full Name:

Social Security Number:

Today's Date:

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