Credit Application Form

Account Name

Number of Vehicles

Address

Street Address

Address Line 2

City (ZIP / Postal Code)

State / Province / Region (Country)

Phone

Contact 1

Contact 2

Credit Line Request

D & B Rated

Years in Business

Tax Exempt

PRINCIPALS

First Name

Last Name

Phone

Address (Street Address)

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

PRINCIPALS 2

First Name

Last Name

Phone

Address (Street Address)

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

TRADE REFERENCES

First Name

Last Name

Phone

Address (Street Address)

Address Line 2

City

State / Province / Region

Country

ZIP / Postal Code

TRADE REFERENCES 2

First Name

Last Name

Phone

Address (Street Address)

Address Line 2

City

State / Province / Region

Country

ZIP / Postal Code

AGREEMENT

Consent

By selecting this box you agree with the terms and conditions listed below and that you have answered all the questions above to the best of your knowledge and that Texans Crown Towing will use this information to process your credit application.

1- All invoices are to be paid within 30 days from date of monthly statement unless previous arrangements have been made. A late fee of 15% will be assessed after 30 days. After 60 days services will be suspended. After 90 days the account will be placed for collections and reported to all credit bureaus including Trans Union, TRW, and Equifax. Additional fees for collections will be added to the account.
2- All invoices and statements already include a 3% discount for payment in cash or check. However if you wish to pay by credit card, this can be arranged but the discounted rate does not apply and the statement will need to be adjusted to reflect the non-discounted price.
3- Texans Crown Towing shall not be liable for loss, damage, or delay caused by acts of God, terrorism, public authorities, strikes, labor disputes, weather, mechanical failures, customs delay or omission, quarantine, or civil commotions.
4- Texans Crown Towing shall not be liable in any event for any special, incidental or consequential damages; including but not limited to loss of profits or loss of income, whether or not Texans Crown Towing has knowledge that such damage might be incurred.