"Your Bay Area Plumbing Source Since 1933"
PO Box 3088    415 40th Street   Oakland, CA 94609  510/652-7437   Fax 510/652-7499

For a printed version of this credit application, click here.
 

kitchen.jpg (5606 bytes)

Credit Application
Please complete this form and click "Submit." Your credit application will be processed, and you will be contacted
as soon as possible.

Or, if you prefer a printed application, click here.

   
Your Name
Title

Account Name

Address
City
State
Zip
Telephone
Fax
Email
Resale Permit No.
Legal Owner 1
Social Security No.
Legal Owner 2
Social Security No.
Business Form Sole Proprietor  Corporation  Partnership  LLC
How Long in Business
Type of Business
Contractors License No.
Bank Name
Bank Branch
Bank Address
Bank City
Bank State
Bank Zip
Account No.
Type of Account Checking   Savings   Other
Trade Reference 1
Telephone No.
Trade Reference 2
Telephone No.
Trade Reference 3
Telephone No.
Trade Reference 4
Telephone No.
Have you ever failed in business? Yes   No
Credit Terms All information and representations in this credit application are correct and complete. I will inform Moran Supply immediately by certified mail to : Credit Dept., Box 3088, Oakland, CA 94609,of any changes in this information or in my financial status or my interest or position in any partnerships or corporations which purchase material from Moran Supply. I understand that credit will not be granted in excess of regular terms and I agree to pay a late charge of 2% per month (24% annually) on purchases not paid by the 25th of the month after purchases are made.
   I understand that my account may be put on credit hold if not paid by the 25th of the month following purchases. I agree to pay a $15 service charge on all returned checks. I understand that my account may be referred to a collection agency or attorney if not paid within 60 days. I agree to pay all court costs and expenses of collecting past due amounts,including but not limited to all actual attorney fees and court costs incurred by Moran Supply.
   I hereby give my consent to have Moran Supply obtain information regarding my employment, checking and/or savings accounts and all other credit matters. A photographic or carbon copy of this authorization bearing a photographic or carbon copy of the signature of the undersigned may be deemed to be equivalent of the original hereof and may be used as a duplicate original.
   For valid consideration and in consideration for any extension of credit to me, I personally guarantee payment for all future purchases made by me, made by any partnership in which I am a partner at the time said purchases are made,or made by any corporation in which I am an officer or in which I hold stock when said purchases are made.
   I/we certify that the above information is true and correct. I/we fully understand your credit terms and agree to the proper payment in consideration of payment extended.

I agree to these terms  Yes   No

For More Information Call 510.652.7437 

Home  l  Principal Products  l   Directions  l   FAQ  l  Email Us