Commercial Charge Account Application

Commercial Charge Account Application

* = required fields

Business Name*:
Billing Address*:
Suite/Floor*:
City*:
State*:
ZIP*:
Phone*:	() -
Delivery Address:
City:
State:
ZIP:
Phone:	() -
Type of Business:
How Long at this Address:
Ownership:	Corporation- Partnership- Sole Owner- Condo-
Social Security Number:	- -
Federal ID Number:
Tax Exempt?*:	Yes     No If you are tax exempt, please fax the appropriate forms to: 978-777-0703
Officers and/or Principals:
Name:
Title:
Address:
Phone:	() -
Name:
Title:
Address:
Phone:	() -
Current Fuel Supplier:
On Site Contact:
Name:
Cell Phone:	() -
Pager:	() -
Accounts Payable Contact:
Name:
Phone:	() -
Fax:	() -
Bank Reference:
Name:
Address:
Phone:	() -
Trade References:
Name:
Address:
Phone:	() -
Name:
Address:
Phone:	() -
Name:
Address:
Phone:	() -
The above information as well as that given is for the purpose of obtaining credit and is warranted to be true. I/We hereby authorize the firm to whom this application is made to investigate the references listed pertaining to my/our credit and financial responsibility.
Name*:
Title*:
E-mail address:*
Sales Representative:
How did you hear of us?*
Please correctly type in the following phrase to verify: Please type o.i.l. without the periods in the box to the right.

IN CASE OF ERRORS OR INQUIRIES ABOUT YOUR BILL send your inquiry in writing to TOWNSEND OIL CO. 27 Cherry Street, Danvers, Massachusetts 01923 (on a separate sheet) so that we may receive it within 60 days after the bill was mailed to you. Your written inquiry must include:

1. Your name and account number (if any)
   
2. A description of the error and why (to what extent you can explain) you believe it is an error; and
   
3. The dollar amount of the suspected error.
   

You remain obligated to pay the parts of your bill not in dispute, but you do not have to pay any amount in dispute during the time the Creditor is resolving the dispute. During the same time, the Creditor may not take action to collect disputed amounts or report disputed amounts as delinquent.

In compliance with Massachusetts General Law Chapter 93C your letter will be acknowledged within 14 days of receipt and handling concluded within 60 days or a maximum of 120 days if further correspondence about the matter is necessary.

FINANCE CHARGES

REGULAR ACCOUNTS - There will be a FINANCE CHARGE computed by a periodic rate of 1-1/2% per month for a balance existing after thirty (30) days from the closing date, which is an ANNUAL PERCENTAGE RATE of 18%. Finance charges may be avoided by paying the "new balance" before the billing date of the next month.

BUDGET ACCOUNTS - No finance charge when payments are made in accordance with budget credit terms.