Thank you for your interest in applying for credit with CIP. Please fill out the application below, we will notify you when your application has been received. If you do not receive a confirmation of receipt within 24 hours, please submit the form again, or contact us at 949-251-0063. Once your application has been received, we will contact your references. Please allow up to 5 business days for processing. CIP will contact you to let you know whether we can approve you for credit or not.

Business Contact Information
Name: Title:
Company Name:
Phone Number: Fax Number: Email Address:
Registered Company Address:
City: State: Zip Code:
Date Business Commenced:
 

Business and Credit Information
Primary Business Address:
City: State: Zip:
How long at current address?:
Phone Number: Fax Number: Email Address:
Bank Name:
Bank Address: Phone:
City: State: Zip:
Account Number:

Business/Trade References
Company Name:
Address:
City: State: Zip:
Phone Number: Fax Number: Email Address:
Type of Account:
Company Name:
Address:
City: State: Zip:
Phone Number: Fax Number: Email Address:
Type of Account:
Company Name:
Address:
City: State: Zip:
Phone Number: Fax Number: Email Address:
Type of Account:

Agreement
• All invoices are to be paid 30 days from the date of invoice.
• Claims arising from invoices must be made within seven working days.
• By submitting this application, you authorize CIP Creation Corporation to make inquiries into the banking and business/trade references that you have supplied.

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