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MainStay Suites Company Credit Application

MainStay Suites is requesting companies to complete a direct bill application form to establish a commercial credit account. The form requests company contact information, billing address, bank information, and commercial credit references. It outlines the credit agreement terms including payment due within 30 days to avoid interest charges and past due accounts may result in suspension of billing privileges. The applicant agrees to provide credit card backup information that will be charged if the bill is past due by 60 days.

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GM Mainstay
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58 views1 page

MainStay Suites Company Credit Application

MainStay Suites is requesting companies to complete a direct bill application form to establish a commercial credit account. The form requests company contact information, billing address, bank information, and commercial credit references. It outlines the credit agreement terms including payment due within 30 days to avoid interest charges and past due accounts may result in suspension of billing privileges. The applicant agrees to provide credit card backup information that will be charged if the bill is past due by 60 days.

Uploaded by

GM Mainstay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MainStay Suites

551 Granite Peak Dr.


Casper, Wy. 82609
Ph: (307) 472-7829 Fax: (307) 472-2022
Email: [email protected]

Company Direct Bill Application Form


Company Name:__________________________________________________________________________
Company Contact:__________________________Phone: ____________email:_________________________
Accounts Payable Contact: ___________________Phone: ____________email:_________________________

Address: ______________________________ Billing Address: _____________________________________


______________________________ _____________________________________
________________________________ _______________________________________

COMMERCIAL CREDIT TRADE REFERENCES: (ONE HOTEL REFERENCE REQUIRED)


NAME COMPLETE ADDRESS TELEPHONE DATE
1
2
3

BANK INFORMATION:

BANK NAME: _____________________________________________________________________________________________

BRANCH ADDRESS: _______________________________________________________________________________________

ACCOUNT NUMBER(S): ____________________________________ _______________________________________________

CREDIT AGREEMENT TERMS AND CONDITIONS

Payment Terms – All invoices are payable upon receipt. Past Due Accounts over 30 days are subject to suspension of billing privileges
and 1.5% interest charges every 30 days past due until account has been settled. Signature below constitutes full acceptance of an
agreement to pay according to stated items.

Credit Card Back-up: Account No. ______________________________________________ Exp: ___________ CCV # ____________

Name as appears Credit Card: __________________________________ Authorized Signature:_______________________________

Credit card will be charged if bill is past due 60 days.

THE INFORMATION ON THIS FORM IS TRUE AND CORRECT AND IS VOLUNTARILY PROVIDED TO ASSIST HIMANSHU INC. IN ESTABLISHING A
COMMERCIAL CREDIT ACCOUNT FOR THE WITHIN NAMED COMPANY. HIMANSHU, INC., OR THEIR AGENT, IS AUTHORIZED TO OBTAIN AND VERIFY
CREDIT AND FINANCIAL INFORMATION FROM ANY AND ALL REFERENCES. IT IS EXPRESSLY UNDERSTOOD THAT IF CREDIT IS APPROVED, ALL
CHARGES WILL BE PAID ON ALL PAST DUE AMOUNTS, THAT IN THE EVENT OF DEFAULT COLLECTION COSTS AND ATTORNEYS’ FEES WILL BE
REIMBIRSED TO HIMANSHU, INC., AND THAT THE COMPANY CONTACT HEREON WILL BE RESPONSIBLE FOR ALL CHARGES UNTIL HIMANSHU, INC.
RECEIVES NOTICE IN WRITING OF SALE OR TERMINATION OF COMPANY OR BUSINESS.

DATE: _____________________ SIGNED: ______________________________________________ TITLE: ____________

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