ABOUT US WHY R.L. SHANE? MULCHES PLAY SURFACES OTHER PRODUCTS CONTACT US  

HOME
 
 
 

 

 
   
  Request Pricing Form
     
    R.L. Shane Company
7071 Corporate Way
Dayton, Ohio 45459

Telephone: 937.435.5299
Toll Free: 1.800.777.5299

Fax: 937.435.7807

Email: info@rlshane.com
   
   
 
  CREDIT APPLICATION AND AGREEMENT
 
  Buyer's Name:       
  Address:       
  Telephone:       
  Fax:       
  Type of Bussiness:   Individual
      Partnership
      Corporation

If a corporation, list actual corporate name of corporate parent, if any:
 

Please list name of owners (or Corporate Officers):
 
 

Please list four major trade references with addresses:

  1. 2.  
 
Telephone:    
Telephone:    
  3. 4.  
 
Telephone:    
Telephone:    
 

 Bank Reference:
  Bank Name:    
  Address:    
  Phone:    
  Account # :    

Buyer agrees to pay FINANCE CHARGES on overdue balances on their account with R. L. Shane Company at
an ANNUAL PERCENTAGE RATE of 18%. The FINANCE CHARGE on such outstanding balances of Buyer's account
shall be computed by applying 1.5% per month to such balances outstanding on Buyer's account on the date of computation. Such finance charges shall then be added to the account of Buyer and considered principal in the next computation.
Further Buyer affirms that the information contained in this statement is true and accurate.
  Buyer's Name:    
  By Individual:    
 

GUARANTEE: In consideration of the extension of credit by R. L. Shane Company,
to  

Buyer, I (individual)

    

of (address)

    

make this guarantee as follows: I unconditionally guarantee full payment for products purchased from R. L. Shane Company

Date:

  
MM    DD     YY 
By Individual:  
      Name Printed: