Business Credit Application

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Lakeland Locksmith Business Credit Application.

To apply, please fill in the form below or click here to load a pdf version that you can print, fill out, and fax to us.

By submitting this application, I hereby certify that the information contained herein is complete and accurate. The information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. By submitting this application I assume full financial responsibility, ability, and willingness to pay the invoices incurred. I hereby authorize the financial institutions listed in the credit application to release necessary information to the company for which credit is being applied for in order to verify the information contained herein. Terms net 30 from date of invoice, not statement. Late fees of 1.5% per month are applicable.

Your Name

Last Name* First Name* Middle Initial Title*

Business Name

Business Name* Tax ID*

Address

Company Address*

City*

State*

Zip Code*

Phone Number*

Company Information

Type of business*

In Business Since*

Legal Business Form*

Name of Parent Company If Any

Year Founded

Name Of Person Responsible For Business Transactions*

Title*

Responsible City, State, Zip If Different From Above (100 chars left)

Phone Number If Different From Above

Bank Reference

Institution Name*

Bank Address (100 chars left)*

Checking Account Number*

Phone Number*

Trade Reference 1

Company Name*

Contact Name*

Address (100 chars left)*

Phone Number*

Account Opened Since*

Credit Limit*

Current Balance*

Trade Reference 2

Company Name*

Contact Name*

Address (100 chars left)*

Phone Number*

Account Opened Since*

Credit Limit*

Current Balance*

Enter the code shown

Contact Us Today!

We are available 24/7 for your emergencies!

4204 S Florida Ave Ste F, Lakeland, FL 33813

(863) 688-3468

(863) 937-7236

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Fax: (863) 582-9390

View Map To Our Store

Member NLA

Member PRHCCPC

Areas Served

Alturas
Auburndale
Babson Park
Bartow
Bradley Junction
Brewster
Citrus Ridge
Combee Settlement
Crooked Lake Park
Crystal Lake
Cypress Gardens
Davenport
Dundee
Eagle Lake

All Of Polk

Florence Villa
Fort Meade
Frostproof
Fuller Heights
Fussels Corner
Gibsonia
Haines City
Highland City
Highland Park
Hillcrest Heights
Homeland
Inwood
Jan-Phyl Village
Kathleen

24/7

Lake Alfred
Lake Hamilton
Lake Wales
Lakeland
Lakeland Highlands
Loughman
Medulla
Mulberry
Polk City
Tranquility Park
Wahneta
Waverly
Willow Oak
Winter Haven

lakeland locksmith phone number