Applicant

Company:

Address:

City:

State:

Zip:

Phone:

Fax:

Type:

Corporation:

Sole Proprietor:

Partnership:

Tax ID#:

Years in Business:

Main Office Address (if other than above)

Address:
City:	State:		Zip:
Phone:		Fax:

Owner / Officers

Name:		Position:
Name:		Position:
Name:		Position:

Trade Reference #1

Company:
Address:
City:	State:		Zip:
Phone:		Fax:

Trade Reference #2

Company:
Address:
City:	State:		Zip:
Phone:		Fax:

Trade Reference #3

Company:
Address:
City:	State:		Zip:
Phone:		Fax:

Credit Application (page 2 of 2)

Bank Reference #1

Bank Name:
Account #:
Address:
City:	State:		Zip:
Phone:		Fax:

Bank Reference #2

Bank Name:
Account #:
Address:
City:	State:		Zip:
Phone:		Fax:

The undersigned is applying for credit with TUF Auto Parts, a division of Shanico Enterprise Corp. By signing below, I hereby attest our financial responsibility, ability, and willingness to pay TUF Auto Parts invoices in accordance to the terms issued. We also authorize the references listed above and those attached to this application to release the information necessary to complete a credit investigation.

Authorized Signature:			Date:
Name:

(Copy of the application can be downloaded from TUF’s website at www.tufautoparts.com)

TUF Auto Parts, division of Shanico Enterprise Corp.

5680 Bandini Blvd, Bell, CA 90201

Tel: (323) 266-0099, (866) 927-6556, Fax: (323) 266-0666

E-Mail: sales@tufautoparts.com