A&B Security Group, Inc.

A&B Security Group, Inc. Credit Application

Thank you for your interest in setting up an account with A & B Security Group. Please fill out the account information form completely. In most cases we can approve your account in 24 hours. Once approved you will receive a terms and conditions sheet for signature of authorized personnel for your account, accompanied with your new account number. We look forward to adding your company to our long list of satisfied clients.

Phone *
Fax * If no fax, enter "None"
Email Address *
Name *
DBA *
Mailing Address *
Shipping Address *
Type of business *
Year established *
At Present Location Since: *
Are you incorporated? * Yes No
if so, under laws of what state: * Type None if not Incorporated
Principal Owners or Stockholders
#1 *
#2
#3
Person to Contact Regarding Financial Matters: * Name and Phone Number
Estimated Monthly Purchases: *
Do you require a written Purchase Order? * Yes No
"Blanket" P.O. number * If no number, enter "None"
Persons authorized to purchase on your account * Please seperate names with commas.
Trade Reference Local references greatly speed the process. (List ONLY companies where you now have an open account)
Reference #1
Name *
Address *
City, State, Zip *
Phone *
Fax * If no fax, enter "None"
Reference #2
Name *
Address *
City, State, Zip *
Phone *
Fax * If no fax, enter "None"
Reference #3
Name *
Address *
City, State, Zip *
Phone *
Fax * If no fax, enter "None"
Contract Terms By pressing the submit button, you agree that you warrant the above information is true and correct and is furnished for the purpose of obtaining credit.
Do you pay Nevada Sales Tax on your purchases? * Yes No Sometimes
Resale Number * A "RESALE CERTIFICATE" must be on file in our office if you do not want us to charge Nevada Sales Tax on your account.

Principal Owners or Stockholders

Trade Reference

Reference #1

Reference #2

Reference #3

Contract Terms