Credit Application
User Manual: credit-application
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NSCA, LLC
A COMPANY SPECIALIZING IN QUALITY RECONDITIONED ELECTRONIC
TEST AND MEASUREMENTT EQUIPMENT
7901 Beechcraft Avenue
Suites M & N
Gaithersburg, Maryland 20879
Office: (301)527-9200
Fax: (301)527-9203
www.nscainc.com
CREDIT APPLICATION
(PLEASE TYPE OR PRINT CLEARLY)
FIRM NAME_______________________________ TYPE OF BUSINESS_________________________
STREET ADDRESS_____________________________________ PHONE#________________________
CITY/STATE/ZIP_________________________________________ FAX#________________________
RESALE TAX #_________________________________ FOR THE STATE OF:____________________
CHECK ONE: CORPORATE____; LLC____; PARTNERSHIP_____; SINGLE PROPIETORSHIP____
ACCOUNTS PAYABLE CONTACT________________________ PHONE # ______________________
PRINCIPLE OFFICER__________________________________ CONTACT_______________________
RESIDENT AGENT_____________________ ADDRESS______________________________________
BANK REFERENCE
BANK NAME__________________________________________________________________________
STREET ADDRESS_____________________________________ PHONE#________________________
CITY/STATE/ZIP_________________________________________FAX#_________________________
ACCOUNT#_____________________________________ CHECKING____ SAVINGS____ LOAN____
BUSINESS REFERENCES
1) FIRM NAME______________________________________ CONTACT_______________________
STREETADDRESS__________________________________ PHONE#________________________
CITY/STATE/ZIP______________________________________ FAX#________________________
ACCOUNT#___________________________
2) FIRM NAME______________________________________ CONTACT_______________________
STREETADDRESS__________________________________ PHONE#________________________
CITY/STATE/ZIP______________________________________ FAX#________________________
ACCOUNT#___________________________
3) FIRM NAME______________________________________ CONTACT_______________________
STREETADDRESS__________________________________ PHONE#________________________
CITY/STATE/ZIP______________________________________ FAX#________________________
ACCOUNT#___________________________
CREDIT LINE REQUESTING $_________________________
SIGNITURE BELOW AUTHORIZES RELEASE OF CREDIT INFORMATION
OFFICER'S SIGNATURE___________________________________ TITLE_______________________
Note: This application will take approximately one week for processing, once the completed application
has been received. Applications that are not complete cannot be processed and will be returned.
