Thank you for applying for an account with Soil Building Systems. Please complete and sign this 2-page form, then fax it to 972-831-8080. The information provided will remain confidential.
 
Company Information

Company Name:

Requested Credit Limit: $               Number of years in business:

Physical Address:   City:   State:   Zip:

Billing Address:   City:   State:   Zip:

Phone:       Fax:

Primary Contact:     Cell:

            eMail:     Direct Line :

Accounts PayableContact:     Cell:

            eMail:     Direct Line :

Check Signor's Name:    Direct Line :

            Driver's License: State:   Number:  Date Of Birth:

How did you hear about SBS? (please be specific)  

Type of Business (check all that apply):

	Landscape Contractor		Landscape Architect		Wholesale Grower		Tree Trimmer
	Lawn Maintenance		Retail Nursery		General Contractor		Construction
	Municipality		Other (please specify)

Vendor Information - Please list 3 current primary suppliers used during the past six months.

Vendor 1:

Address:   City:   State:   Zip:

Phone:        Fax:

Vendor 2:

Address:   City:   State:   Zip:

Phone:        Fax:

Vendor 3:

Address:   City:   State:   Zip:

Phone:        Fax:

Bank Information

Bank Name:   Phone:

Banking Representative:   Account No:

Soil Building Systems Terms

• Your statement will be mailed (or emailed) the first day of the month for all purchases made during the previous month.
• Full payment received by the 15th day of the month following the sale (Net 15th) will be considered "Timely Payment." Payments received after the 15th of the month will be considered “Past Due.”
• SBS offers an On Time Payment Program to reward those companies that consistently make on-time monthly payments. Customers that do not qualify for the On Time Payment Program pay an additional 7% for materials and services. Payments received after the 15th will disqualify you for the On Time Payment Plan until the next timely payment is received (i.e., If you make timely payments, you will automatically receive the discounted On-Time Payment Program pricing).
• At the discretion of SBS, any account with a delinquent balance may either be put on a cash-payment basis or placed on hold
• If payment has not been received within 40 days after the month of the sale, we are required by Texas law to notify property owners, general contractors, bonding companies, etc. in order to protect our collection rights. You are responsible for all reasonable collection costs and attorney fees necessary for collection of Past Due balances.
• A $25 fee will be charged for all returned checks.

The undersigned verifies and warrantees that all information submitted above is correct. The undersigned has read and agrees to the terms of Soil Building Systems, Inc., and will be bound by all the terms set forth in this document and Soil Building Systems, Inc. invoices. The undersigned hereby authorizes the vendors/suppliers listed above to release credit information to Soil Building Systems, Inc.

Officers Name (please print)	Title
Signature	Date