Credit Application

Please complete all sections and submit via fax # 713-672-5485 or by mail. The agreement must be signed by an officer/or owner of the company. Please contact us at # 713-675-9101, if you have any questions.

The following applicant requests extension of credit from Morris Export Services.

NAME OF COMPANY:
MAILING/BILLING ADDRESS:
CITY:
STATE
ZIP CODE:
TELEPHONE NUMBER:
FAX NUMBER:
WEB SITE:
TYPE OF BUSINESS OR SERVICE:

Purchase Order Numbers required? Yes No If yes, please provide sample here:

Please choose whether the company is a CORPORATION, PARTNERSHIP or INDIVIDUAL PROPRIETORSHIP

Please list relevant corporate officers and titles:

INCORPORATION - DATE STATE

IF A BRANCH / DIVISION, LIST LOCATION OF HOME OFFICE:
PERSON IN CHARGE OF ACCOUNTS PAYABLE:

BANK REFERENCE:

NAME AND ACCOUNT NUMBER:
CONTACT NAME:
STREET ADDRESS:

CITY:

STATE:

ZIP:

TELEPHONE NUMBER:

FAX NUMBER:

BUSINESS REFERENCES:

COMPANY NAME:
CONTACT NAME:
STREET ADDRESS:

CITY:

STATE:

ZIP:

TELEPHONE NUMBER:

FAX NUMBER:

COMPANY NAME:
CONTACT NAME:
STREET ADDRESS:

CITY:

STATE:

ZIP:

TELEPHONE NUMBER:

FAX NUMBER:

COMPANY NAME:
CONTACT NAME:
STREET ADDRESS:

CITY:

STATE:

ZIP:

TELEPHONE NUMBER:

FAX NUMBER:

SIGNATURE OF APPLICANT:
NAME OF APPLICANT:

TITLE OF APPLICANT:

DATE SIGNED: