Become A Dealer

Credit Application - Please send Resale License copy when you finish this application by Fax, E-mail, or mail.

Your Store/Company Name
Types of Business                Corporation                   Partnership                  Proprietorship                   LLC
Billing Address
Shipping Address
Phone Fax
Main Contact Title DOB
Email Website

 

Bank Information
Address Account Number Phone Contact
Federal ID Number Resale Number
 

Average annual purchase amount expected   Less than $1000   Between $1000 ~ $4999     Between $5000 ~ $9999  Over $10000  

List 3 of Major Trade References Company Name Phone Fax Address
 
 

Types of Term Applying For   C.O.D.   Net 15  Net 30   Others, please specify  

  Accounts Payable Contact Name Phone
Address
Purchasing Agent Name(s)
Please Send A Current Catalog    Yes   No
Owner Information Name

Title

 Phone S.S.N.
 

 

Important:  It will be necessary for Chaeil Fishing & Tackle USA, Inc. to credit check the company's

and the owner's credit terms in order to be able to purchase products from Chaeil Fishing & Tackle USA, Inc. 

By filling out all requested information in this application, the applicant and his/her company authorize

Chaeil Fishing & Tackle USA, Inc. to obtain any information necessary to establish and maintain credit terms. 

Applicant and his/her company further authorizes the bank and trade references listed above

to release any information necessary to Chaeil Fishing & Tackle USA, Inc.

I Agree   I Disagree

(If disagree, can't process the application)

 

 

Application completed by

 Title

 Phone