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Credit Application

*Please note: if you receive a submission error, rest assured, we have received your credit application

Business Contact Information

Example: 432-563-3332

Example: 432-563-3340

Owners / Officers

Business and Credit Information

Example: 432-563-3332

Exampe: 432-563-3340

Maximum size 10MB

*If so attach tax exemption certificate

Bank Information

Business / Trade References

Must have a minimum of three (3) references in order to process your credit application.

Business / Trade Reference #1

Business / Trade Reference #2

Business / Trade Reference #3

Information Required by your company on delivery tickets to ensure prompt payment:


Check all the products that are you interested in either purchasing or renting



  1. All payments are due 30 days from the receipt of the invoice.
  2. Interest charge of 18% per annum or 1.5% per month will be applied back to the past due date should your account be referred to collections and/or if other legal action is required to collect your past due account. This will be in addition to any collection and legal fees.
  3. Invoicing disputes must be made in writing within 30 business days.
  4. By submitting this application, you authorize Milford to make inquiries into the banking and business/trade references that you have supplied.
  5. Annual CPA audited financial statements, or a personal guarantee MAY be required if after reviewing your credit application, bank and business trade references:
    1. Your credit limit requested is higher than your trade references balance history.
    2. Your bank and business trade references are insufficient.
    3. Your business has been established less than 2 years, regardless of type of ownership.
    4. Should such an instance occur Milford's Credit Department will request the items in writing via email.
Only an owner, officer, or a non-officer with written signatory authority signed by an owner or officer can sign. Proper certification must be presented at time of submission.

The individual/s signing this page hereby represent/s and warrant/s that s/he is duly authorized to execute and deliver this Agreement on behalf of (Legal Company Name) and that this Agreement is binding upon said company in accordance with its terms.

E - Signatures

By typing my name in the following box I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing this credit application and its information.

The Individual that is signing this credit application MUST be an owner/officer of the company in order to complete this application.

The individual signing this MUST be an owner/officer of the company in order to submit

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