Credit Application -- REI Corporate and Group Sales 1700 - 45th St. E. Sumner, WA 98352 Phone (800) 258-4567 Fax (253) 891-2638 Firm Name: ___________________________________________________________________________ Mailing Address: _____________________________________________________________________ City/State/ZIP: ______________________________________________________________________ Phone ( ) Fax ( ) Year Established: Circle one: Sole Proprietorship Partnership Corporation Nature of Business: __________________________________________________________________ Amount of Credit Requested: $ _________________________ Principals in Firm Name: _________________________________________ Position: ________________________ Name: _________________________________________ Position: ________________________ Accounts Payable Contact: _________________________________________ Phone ( ) Purchasing Dept. Contact: _________________________________________ Phone ( ) Bank Name: _________________________________ Phone ( ) Fax ( ) Mailing Address: _________________________________________ Account Number: City/State/ZIP: _____________________________________________________________________ Trade Credit References Name | Mailing Address | Account Number | Phone/Fax Numbers 1. ____________________________________________________________________________________ 2. ____________________________________________________________________________________ 3. ____________________________________________________________________________________ 4. ____________________________________________________________________________________ I give permission to contact the references above to evaluate our credit history. If applicant is corporation, an authorized corporate officer must sign. Our credit terms are net 30 days. If it should be necessary to use the services of a third party to collect delinquent amounts on this account, we agree to compensate REI for collection expenses for an amount not to exceed 25% of the balance owed. This information is true and correct to the best of my knowledge. If your organization is tax exempt, please attach your state certificate to this credit application. Signature: _________________________________ Date: _____________________________ Print Name: _________________________________ Print Title: ______________________