Credit App

Bauman Oil Distrubutors, Inc. Credit Application

Customer Credit Application

Please fill out this form to apply for our Customer Credit Line and we will get in touch with you shortly.
  • Customer Billing Information

  • Please provide your full name.
  • Please provide the contact name for the credit line. Please type SAME if not different.
  • Please provide your email address.
  • Please provide the EIN or SSN for tax purposes.
  • Please provide your official address.
  • Please provide your phone number.
  • Please provide your fax number.
    Please check the appropriate response. If you answered YES, please fax your tax exemption form to our office.
    Please check the appropriate response.
  • Please provide any special billing instructions.
  • Customer Bank Information

  • Please provide the name of your banking institution.
  • Please provide the name of your banking representative.
  • Please provide the address for your banking institution.
  • Please provide the phone number for your banking institution.
  • Business References

    Please provide information for three business references below.
  • Please provide the name of your business reference.
  • Please provide the contact name for your business reference.
  • Please provide the address for your business reference.
  • Please provide the phone number for your business reference.
  • Please provide the fax number for your business reference.
  • Please provide the name of your business reference.
  • Please provide the contact name for your business reference.
  • Please provide the address for your business reference.
  • Please provide the phone number for your business reference.
  • Please provide the fax number for your business reference.
  • Please provide the name of your business reference.
  • Please provide the contact name for your business reference.
  • Please provide the address for your business reference.
  • Please provide the phone number for your business reference.
  • Please provide the fax number for your business reference.
  • Ownership of Your Business

  • Please enter a value between 1 and 200.
    Please provide the number of years you have owned the business.
  • Please provide the name of a principal owner.
  • Please provide a phone number for the principal owner.
  • If there are more than one owner, please provide name.
  • If applicable, please provide the phone number for principal #2.
    I fully understand and accept your credit terms and guarantee the proper payment in consideration of the extended credit. I authorize Bauman Oil Distributors, Inc. to check my credit references as listed above. Bauman Oil Distributors, Inc. reserves the right to revoke credit, demand payment in full, and/or reduce the credit line amount. If reasonable collection or legal action is deemed necessary by Bauman Oil Distributors, Inc. to receive monies owed, the collection or legal fees shall also be charged to, and paid by the above person, business, or organization.