american made company,wholesale clothing company, liberty wear US wholesale clothing company, liberty wear clothing, american made womens shirts
CREDIT APPLICATION
MAKE SURE YOU HAVE SUBMITTED A
REQUEST FORM IF YOU ARE NEW, FIRST.
Name of Business:
Shipping Address:
Phone # :
Alt.Phone # :
Email:
Name:
REQUEST TYPE
Credit Card /
Billing
Address:
New Customer
Previous Customer
Change in Terms
Date Company Formed:
Has Business
Ever Filed
Bankruptcy ?
If Yes Explain:
Owner/Partner Name:
TERMS In WHICH YOU ARE APPLYING -
Credit Card
NET 30
Credit Card Info
Card Type:
Name On Card:
Card Number:
Card Expiration Date:
Card 3/4 Security Code # on Back:
Electronic Signature- Please type name below to authorize Liberty
Wear to use your credit card on orders you placed
PLEASE READ:
 TERMS AND CONDITIONS
Signature of Card Holder Authorizing Liberty
Wear to use for Orders:
------------------------------------------------------------------------------------------------------------------------------------------
NET 30 Info
Terms: Net 30 Days : Buyer agrees to pay all invoices within 30 days and to pay a service charge of 1.5%
per month, which is an annual percentage rate of 18% on all overdue balances.  Applicant hereby
authorizes and grants Liberty Wear the right to investigate credit reference and banking information. In
addition, I / We, hereby personally give this continuing guarantee to Liberty Wear that I / We will comply
with the
TERMS AND CONDITIONS stated throughout this agreement and solely and personally will be held
responsible.  
I AGREE TO THE TERMS AND CONDITIONS