Infinity Equipment Credit Application

Infinity Equipment, Truck & Trailer Sales
901 McCarty / Houston, Texas 77029 / Mailing P.O. Box 96438 / Houston, Texas 77213-6438
713.675.6969 / Fax 713.675.4099 / Email: Sales@infinityequipment.com

CREDIT APPLICATION

E-mail Address: *
Customer Name: *
Street: *
City: *
County: *
State: *
ZIP code: *
Social Security : *
CDL#: *
CDL State: *
CDL Expiration: *
Date Of Birth: *
Home Phone #: *
Mobile Phone #:
Business Phone #:
Own Home :
Rent :
How Long At This address ? (Years / Months) *
PREVIOUS ADDRESS (IF LESS THAN 5 YEARS AT CURRENT ADDRESS)
Street: *
Dates : FROM : *
TO : *
City : *
State : *
ZIP Code :
SELF EMPLOYED OR BUYING BUSINESS NAME:
Legal Name Of Company
Office 1 Phone # :
Office 2 Phone # :
Fax #:
Direct Phone #:
City :
State :
County :
ZIP Code:
Date of Incorporation *
State
AUTHORIZATION: The undersigned has applied to Infinity Equipment, Truck & Trailer Sales or its assigns for extension of credit. This will be your authority and my request to release any information concerning personal or business credit standing, which may include but not be limited to, personal or business credit histories. Information to be released by telephone or fax. By entering Social Security Number and License Number in this form, theapplicant authorizes release of all banking and credit information, both business and/or personal, requested by Infinity Equipment, Truck, & Trailer Sales. This form may be reproduced or photocopied and a fax copy should be as effective consent as this original that I have produced.
Applicant Signature *
Date *
Co-Applicant Signature
Date


* Required