Credit Application

Please print the following credit application, complete and submit to John Kramer's Fabrications, Inc. via fax or mail to the following address for processing:

John Kramer's Fabrications, Inc.
231 East 2nd Street
PO Box 41
Bernvile, PA 19506

Company:

Address:

City:

State:

Zip Code:

Phone #:

Type of Business:

Years in Business:

Tax I.D.#:

Partners or Corporate Officers

Name:

Title:

Phone:

Name:

Title:

Phone:

Name:

Title:

Phone:

Bank References

Bank Name:

Bank Address:

Account Number:

Contact Name:

Contact Phone:

Bank Name:

Bank Address:

Account Number:

Contact Name:

Contact Phone:

Trade References

1. Company Name:

Fax #:

2. Company Name:

Fax #:

3. Company Name:

Fax #:

Release of Information

We agree to be bound by John Kramer's Fabrications, Inc.'s terms. We understand that upon failure to meet John Kramer's Fabrications, Inc.'s payment terms, we will be subject to a finance charge, collection and court costs, including reasonable attorney's fees. The fee for a returned check is $25.00. I hereby warrant and affirm, based upon my review of our business records, that the foregoing is true and correct.

I hereby authorize our references to release any information necessary to assist in establishing credit.

Name:

Title:

Date: