Sun City Energy Supplies

01Applicant / business information

Legal name of business

DBA / trade name(if any)

Entity type

State of formation

EIN

Established

Tax-exempt / resale?

Yes — I'll send a certificateNo — charge tax

Tax permit no.

Type of business

Employees

Website

Billing / mailing address

City

State

ZIP

Physical / shop address is the same as billing

Main phone

Invoice email

PO required?

YesNo

Accounts payable contact

A/P phone

A/P email

Purchasing / estimating contact is the same as A/P

Purchasing contact

Phone

02Owners, officers & principals

Everyone holding 20% or more. One principal will also sign the Personal Guaranty (Section 9 of the PDF).

Principal 1 — name

Title

% owned

Mobile

03Credit requested

Credit limit ($)

Monthly purchases ($)

Jobsite areas / counties

If yes, explain(dates, court and status)

04Bank reference

Bank name

Branch city

Banker / contact

Phone

Account type

Acct. no.(last 4 only)

05Trade references

Three supplier accounts currently open — building-material or industrial suppliers preferred.

Ref 1 — company

Contact

Phone

Email / fax

Acct. no.

Ref 2 — company

Contact

Phone

Email / fax

Acct. no.

Ref 3 — company

Contact

Phone

Email / fax

Acct. no.

06Authorized purchasers & will-call pickup

Who may place orders, sign delivery tickets and pick up at will-call. Applicant remains responsible for all purchases on the account until Sun City receives written notice revoking a person's authority.

Authorized purchasers(one per line: name, role, mobile)

Anyone presenting a company PO may purchaseOnly the persons listed above may purchase

08Certification, authorization & signature

Section 7 — the Terms and Conditions of Sale and Credit — is in the PDF and incorporated here by reference.

The signer is Principal 1 (copy name & title)

Authorized signer

Title

I am authorized to sign on behalf of the Applicant and to bind it to the Terms and Conditions of Sale and Credit. The information in this application is true, complete and correct, and the Applicant is solvent and able to pay its debts as they come due.I authorize Sun City to verify this information, contact the bank and trade references listed, and obtain business credit reports on the Applicant now and from time to time in connection with this account.

STILL NEEDED ON PAPER
The Continuing Personal Guaranty (Section 9) must be signed individually by an owner or officer. Download just those two pages, sign, and email them with your resale certificate to accounting@suncityenergysupplies.com.↓ PERSONAL GUARANTY ONLY · SECTION 9 (PDF)

Set up a contractor account.

Download Form CR-01

Business