2323 Leopard Street
Corpus Christi, TX 78408
Send us an E-Mail
admin@cc-electric.com
361-882-2564
Home
About US
Products
Product Integration
Value Added Services
Training / Meeting Facilities
Project Management
VMI
Contact US
Credit Application
Careers
Credit Application
Home
Credit Application
CREDIT APPLICATION
Business Name
*
Type of Business
*
How Long in Business
*
Years at Address
*
Telephone Number
*
Billing Address
*
0 / 200
Shipping Address
*
0 / 200
If Business, Type of Ownership
*
Please select an option
Please Choose an Option
CORPORATION
LIMITED PARTNERSHIP
PARTNERSHIP
HAS APPLICANT DECLARED BANKRUPTCY IN THE LAST FOURTEEN YEARS
Names of Principles
0 / 70
Complete Address
0 / 100
ZIP
Telephone Number
0 / 70
0 / 100
0 / 70
0 / 100
Bank Name
*
0 / 100
Bank Officer
*
0 / 5
Telephone Number
*
Bank Address
*
0 / 200
Reference Business Name
0 / 15
Complete Address
0 / 100
ZIP
Telephone Number
0 / 15
0 / 100
0 / 15
0 / 100
Please indicate how you would like your invoices delivered: Emailed or mailed If emailed, to what email address
*
Submit Application
SEE OUR BROCHURE TODAY!
Download
View