Lawn ponds, patio ponds, goldfish ponds, waterfalls, plantainers, planters, window well covers, mortar tubs from MacCourt

*ALL INFORMATION CONTAINED HEREAFTER
IS STRICTLY CONFIDENTIAL*

Contact our Sales Office:
4800 Joliet Street
Denver, CO 80239
800.552.5473

APPLICATION FOR CREDIT

Thank you for your interest in becoming a Dealer and/or Distributor of our products. We look forward to doing business with you. In order to purchase direct from MacCourt you must meet our minimum 300 Lb. purchase requirements. The upside to this is that we pay the freight. We also offer a considerable discount on purchases meeting 1,000 Lbs. Please contact our Sales Department at: 800-552-5473 for details or email us at: macapply@maccourtsales.com

Please fill out IN DETAIL the Credit Application below.

Date:
Phone:
Fax:
Full Name of Firm:
Contact(s):
Email:
Billing Address:
City:
State:
Zip:
Credit Line Requested:
Bank:
Branch:
Account Number:
Bank Contact:
FEDERAL TAXPAYER ID # OR SOCIAL SECURITY #:

CREDIT REFERENCES: Please List The Name, City, State , Phone, FAX and Account Number (If Applicable) Please list current references (purchases within the last year)
1.	Fax#:
	Phone#:
2.	Fax#:
	Phone#:
3.	Fax#:
	Phone#:
4.	Fax#:
	Phone#:
Please click here to attach and send references, or cut and paste references here:
INDIVIDUAL PERSONAL GUARANTY
I, (We) for and in consideration of your extending, at our request, to hereby personally guaranty to you the payment of any obligation of the above named company and I (we) hereby agree to bind myself (ourselves) to pay you on demand any sum which may become due to you by the company whenever the company shall fail to pay the same. It is understood that this guaranty shall be a continuing and irrevocable guaranty and indemnity for such indebtedness of the company. This obligation shall cover the renewal of any claims guaranteed by this instrument or extension of time of payment thereof.
Date	Signature
Date	Signature
By checking this box you agree to all of the above information: Yes
Thank you again for your interest in becoming an authorized Dealer and/or Distributor of MacCourt Products.

Thank you for your interest in becoming
an authorized Dealer and/or Distributor of MacCourt Products.