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About
Our Team
Career Opportunities
Employment Application
What We Do
Concrete Pumping
>
Material Handling
Mine Grouting
Geotechnical
Ready-Mix Concrete
Sales & Service
Projects
Cleveland Clinic
Route 30 Landslide Stablization
Rock and Roll Hall of Fame
I-72 Sangamon River Bridge
Terminal Tower Building
Prairie State Energy Campus
Limestone Storage Silo Foundation
Duke Energy IGCC
Dick Henderson Bridge
Hyde Park
Pump Specs
Schwing S 20
Putzmeister 20 Z
Putzmeister 28 Z
Schwing S 31 XT
Schwing S 32 X
Alliance 32 ZZ
Putzmeister 36 Z
Schwing S 38 SX
Putzmeister 38 Z-5
Schwing S 39 SX
Schwing S 46 SX
Schwing S 47 SX
Putzmeister 47 Z
Alliance 57 RZ
Schwing S 58
Schwing S 61 SX
Telebelt Conveyer 110
Telebelt Conveyor 130
Putzmeister BSA 14000
Schwing SPTM2000
Schwing SP750-18
Putzmeister TK50
Schwing SPTO 4000
Putzmeister VSP70
Conforms 18-3 Spider
Imer 800
Line Dragons
Schwing S 39 SXD/SPB 35
Contact
Request A Proposal
Please complete the following form or
download
our credit application and return it to us according to the instructions found at the bottom of the application.
Download Credit Application
Credit Application
Business Information
*
Indicates required field
Legal/Business Name
*
Date Established
*
Phone Number
*
Fax Number
*
Email
*
Website
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Type of Business
Choose One
*
Corporation
Partnership
Sole Proprietor
LLC State Incorporated
Federal ID Number
*
Annual Sales
*
Purchase Orders Required
*
Yes
No
Number of Employees
*
Fiscal Year End
*
Tax Exempt? (If yes, please include Tax Exempt Certificate)
*
Yes
No
Year This Business Established
*
DUNS
*
Amount of Credit Requested
*
Attach File
*
Max file size: 20MB
Accounts Payable Contact
*
First
Last
Accounts Payable Address
*
Line 1
Line 2
City
State
Zip Code
Country
Parent Company Info
Parent Company Name
*
Does Parent Company Guarantee Debts?
*
Yes
No
If Yes, Please provide details
*
Parent Company Address
*
Line 1
Line 2
City
State
Zip Code
Country
Officer(s)/Owner(s)
First Officer/Owner
*
Social Security Number
*
Home Phone Number
*
Home Address
*
Line 1
Line 2
City
State
Zip Code
Country
Second Officer/Owner
*
Social Security Number
*
Home Phone Number
*
Home Address
*
Line 1
Line 2
City
State
Zip Code
Country
Bank Information
Primary Bank Account
*
Phone Number
*
Fax Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Account Officer
*
Loan Number
*
Checking Account Number
*
Savings Account Number
*
Secondary Bank Account
*
Phone Number
*
Fax Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Account Officer
*
Loan Number
*
Checking Account Number
*
Savings Account Number
*
Trade References
Company Name
*
Credit Manager/Contact
*
Email
*
Account Number
*
Phone Number
*
Fax Number
*
Company Name
*
Credit Manager/Contact
*
Email
*
Account Number
*
Phone Number
*
Fax Number
*
Company Name
*
Credit Manager/Contact
*
Email
*
Account Number
*
Phone Number
*
FAX Number
*
By signing this credit application/agreement, the individual executing this Application below on behalf of Buyer, individually and personally, represents and warrants to Howard Concrete Pumping Company, Inc. that:
1) he/she is authorized to execute this Application on behalf of Buyer; 2) the information set forth in this Application is accurate and complete; 3) Buyer agrees that the prevailing party in any proceeding to enforce this Guarantee or to resolve a dispute with Howard Concrete Pumping Company, Inc. will be entitled to recover its costs, including attorneys' fees, collection agency fee, from the other party; and 4) any legal action brought by Buyer will be in the jurisdiction of Allegheny County, PA, and Buyer hereby submits to the jurisdiction of said courts . The laws of the State of PA will apply. Buyer agrees to pay interest on any unpaid purchases, beginning 30 days after the payment due date, at the rate of 1.5% per month; 18% per annum, or the maximum judicial rate, whichever is less Buyer also agrees to pay $35 for each check issued by Buyer to Howard Concrete Pumping Company, Inc which is returned to Howard Concrete Pumping Company, Inc . unpaid or marked NSF.
In signing this Application, Buyer agrees to all of the above and hereby grants permission for credit information to be verified by company(ies) and financial institution(s) that the Buyer has specified on this document and others that Howard Concrete Pumping Company, Inc. becomes aware of during the credit review process and from time to time. The undersigned also understands that Howard Concrete Pumping Company, Inc. will retain this Application, whether or not it is approved, and that Howard Concrete Pumping Company, Inc . will consider this Application as a continuing statement of the undersigned's financial position and situation until financial position and situation until notified otherwise by the Buyer. In order for Howard Concrete Pumping Company, Inc. to sell and to continue to sell to Buyer, Buyer hereby represents and warrants that it is solvent and that it pays its obligations as they become due. The preceding representation and warranty will be deemed to be repeated in each purchase by Buyer Faxed documents will be deemed as original. No oral agreements will be accepted The terms on this credit application/agreement overrides all others.
Company Name
*
Authorized Digital Signature
*
Signatory Name
*
Date
*
Title
*
PERSONAL GUARANTEE
The individual by signing this credit application/agreement is executing this Application on behalf of Buyer and personally guarantees, and agrees to be personally liable for failure of the performance by Buyer of, any and all of Buyers' obligations under this Application with Howard Concrete Pumping Company, Inc. including timely payment of any and all sums due to Howard Concrete Pumping Company, Inc. The personal guarantee also applies in the event that the Buyer declares Bankruptcy or applies for Bankruptcy protection.
Authorized Digital Signature
*
Guarantor's Name
*
Date
*
Title
*
Submit
About
Our Team
Career Opportunities
Employment Application
What We Do
Concrete Pumping
>
Material Handling
Mine Grouting
Geotechnical
Ready-Mix Concrete
Sales & Service
Projects
Cleveland Clinic
Route 30 Landslide Stablization
Rock and Roll Hall of Fame
I-72 Sangamon River Bridge
Terminal Tower Building
Prairie State Energy Campus
Limestone Storage Silo Foundation
Duke Energy IGCC
Dick Henderson Bridge
Hyde Park
Pump Specs
Schwing S 20
Putzmeister 20 Z
Putzmeister 28 Z
Schwing S 31 XT
Schwing S 32 X
Alliance 32 ZZ
Putzmeister 36 Z
Schwing S 38 SX
Putzmeister 38 Z-5
Schwing S 39 SX
Schwing S 46 SX
Schwing S 47 SX
Putzmeister 47 Z
Alliance 57 RZ
Schwing S 58
Schwing S 61 SX
Telebelt Conveyer 110
Telebelt Conveyor 130
Putzmeister BSA 14000
Schwing SPTM2000
Schwing SP750-18
Putzmeister TK50
Schwing SPTO 4000
Putzmeister VSP70
Conforms 18-3 Spider
Imer 800
Line Dragons
Schwing S 39 SXD/SPB 35
Contact
Request A Proposal
