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Online Credit Application

Please fill out the following form with accurate information. All requests for credit will be reviewed, and you will be contacted by a representative as soon as possible. Thank you for your interest in V and V Appliance Parts Inc.

You may either submit this form electronically, or print it out and mail it to us at:
V and V Appliance Parts Inc.
Attn: Credit Department
27 W. Myrtle Ave.
Youngstown, Ohio 44507

* - Mandatory Fields

Company Name: *
Email Address: *
Address: *
City: *
State: *
Zip Code: *
Business Phone: *
Principal's Owner's Name:
Tax Exempt Number:
Home Address:
Home Phone:
Years Established:
Is Business Incorporated?
Bank Affiliation:
Bank Officer:
Maximum Credit Applied For: $

Business Reference 1

Name:
Address:
Phone:
Fax:

Business Reference 2

Name:
Address:
Phone:
Fax:
 
Would you like Website Access?         Yes         No
 
Comments:
NOTE: If account is authorized to purchase appliance parts on an open account, be it understood that all purchases will be due and payable by the tenth of the month following the date of purchase. The undersigned official, to induce the granting of credit to the above-named firm, hereby; personally guarantees the company's credit.

By placing your name in this box, you agree to adhere to the aforementioned note, and you are guaranteeing that you are an officer of the applying firm.