HOWELL CRANE & RIGGING, INC.
(210) 661-8285
APPLICATION FOR CREDIT
PLEASE RETURN BY FAX TO (210) 661-7683 OR BY MAIL TO:
P.O. BOX 200576 SAN ANTONIO, TEXAS 78220

COMPANY NAME:_______________________________________________________________________

BILLING ADDRESS:______________________________________________________________________

CITY:______________________________ STATE:________________________ ZIP:_______________

PHONE NUMBERS: (MAIN OFFICE)_______________________                                                          

JOB SITE:_______________________________ FAX:__________________________                             

NUMBER OF YEARS THIS COMPANY HAS BEEN IN BUSINESS:______________________________

_________ CORPORATION IN THE STATE _______________________  __________PARTNERSHIP  __________INDIVIDUAL

NAME, ADDRESS AND PHONE NUMBERS OF OFFICERS/OWNERS:                                              

1.____________________________________________________________________________________

2.____________________________________________________________________________________

3.____________________________________________________________________________________

BANK NAME:_________________________ OFFICER'S NAME: ________________________________

BANK ADDRESS:_____________________________________ ACCOUNT #______________________

BUSINESS REFERENCES: (INCLUDE NAME, ADDRESS, PHONE NUMBER)                                    

1.____________________________________________________________________________________

2.____________________________________________________________________________________

3.____________________________________________________________________________________

ARE PURCHASE ORDER# REQUIRED:____________PERSON RESPONSIBLE FOR GIVING PO#_________________________

PLEASE READ CAREFULLY
HOWELL CRANE & RIGGING, INC. CREDIT TERMS. PAYMENT IS DUE 30 DAYS FROM DATE OF INVOICE. NOTICES OF INTENT
TO LIEN WILL BE SENT 45 DAYS FROM DATE OF INVOICE, IF THE BILL IS NOT PAID OR PRIOR ARRANGEMENTS WITH
HOWELL IS NOT MADE.                                                                                                                                                                 

I CERTIFY THAT ALL THE INFORMATION ON THIS FORM IS CORRECT. I FULLY UNDERSTAND YOUR CREDIT TERMS AND
AGREE TO THE PROPER PAYMENT IN CONSIDERATION OF EXTENDED CREDIT AND I AM FULLY AUTHORIZED TO SIGN
ON BEHALF OF ABOVE SAID COMPANY.                                                                                                                                             

SIGNED___________________________________________ TITLE______________________________
DATE_____________________________________________                                                                  

IF YOUR INVOICE IS NOT CORRECT PLEASE CONTACT UPON RECEIPT. PLEASE DON'T WAIT UNTIL THE DUE DATE TO
CONTACT US