Clone of Credit Application

We offer several options when applying for credit with Frank Lowe.

Business Contact Information
Name of Business*
Company Name:*
Phone
Fax:*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Total Annual Sales:*
SIC/NAICS Code:*
Date business started:*
Date Incorporated:*
D&B:*
Number of Employees:*
Sole Proprietorship?*
- Yes
- No
Partnership?*
- Yes
- No
Corporation?*
- Yes
- No
Tax ID#*
Business and Credit Information
President's Email*
President's Phone*
CFO's Email*
CFO's Phone*
Purchasing Mgr. Email*
Purchasing Mgr. Phone*
Purchasing Agent Email*
Purchasing Agent Phone*
Accounts Payable Email*
Engineering Email*
Engineering Phone*
Name of Bank:
Bank Contact Name:
Bank Contact Email:
Bank Address*
Street Address Address Line 2 City State ZIP Code
Checking Acct.#*
Savings Acct.#
Business/Trade References
Company Name:
Company Address
Street Address Address Line 2 City State ZIP Code
Company 2 Name:
Company 2 Address
Street Address Address Line 2 City State ZIP Code
Company 3 Name:
Company 3 Address
Street Address Address Line 2 City State ZIP Code
Agreement/Terms
Agree To Terms*
- 1. All invoices are to be paid 1% 10 Days – Net 30 days from the date of the invoice. 2. Claims arising from invoices must be made within seven working days. By submitting this application, you authorize Frank Lowe Rubber & Gasket Co., Inc. to make inquiries into the banking and business/trade references that you have supplied.

Business Contact Information