Our credit application is NOT currently networked to the company database; the 'send application' button does not function at this time. To apply for an account please complete the form on your computer, then print out the results and fax it to Excel at 713-783-5676. This form, as well as our delivery order form and customer account information, will be networked in the near future.

CREDIT APPLICATION
(Please fill out completely)

Name of Business

Street Address

City                      State      Zip
  
Mailing Address 

City                      State      Zip 
  
Phone               Ext.     Fax
-x   -
E-mail Address




Type of Business

Names of Officers or Owners of the Business:
NAME                         TITLE
 
 
Date Established             Incorporated?
          



Name of Bank

Banking Officer

Account Number            Branch Location
 
City                      State      Zip 
  
Phone               Ext.     Fax
-x   -
E-mail Address




LOCAL Credit References:
Business #1

Contact

Phone               Ext.     Fax
-x   -
E-mail Address


Business #2

Contact

Phone               Ext.     Fax
-x   -
E-mail Address


Business #3

Contact

Phone               Ext.     Fax
-x   -
E-mail Address




      Preferred Billing Cycle 
            Weekly
            Monthly
            Bi-Monthly
          

Authorization (Individually and as Officer of the Company)

Title                        Date
 
 

              TERMS: NET 10 DAYS