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Applications

To apply for a line of credit please fill out the credit application form below. When you have completed it please click submit and it will go directly to our credit department for processing. 

If you prefer to download a PDF version please download the form that meets your needs. Upon completion please ubmit it to our credit department at or by fax to 781-821-8895.

If you have any questions along the way, please contact us at or 781-828-8500. 

 

Please see below to choose which method suits your needs best.

Download Corporate Application
Download Individual Application
  • Corporate
  • Individual

Credit Application – Corporate

Please fill out the Credit Application below, or you may download a copy of the credit application here and fax it to 781-821-8895.

 

Please state your full and complete legal name:

For each case please indicate whether the account is in your name, your spouse's or another person, a joint account or in the name of the applicant business.

CLICK + BUTTON TO ADD MORE REFERENCES

CLICK + BUTTON TO ADD MORE REFERENCES

I/We authorized the person or rm to whom this application is made to investigate the references listed pertaining to my/our credit responsibility. Furthermore, I agree to the terms of sale and returns policy of your company and all reasonable costs, collection fees, attorney’s fees and expenses incurred by me in the event of failure of applicant to pay all obligations and indebtedness when due. (Our terms include 11⁄2% Service Charge per month (18% per annum) on the unpaid balance after 30 days of the Statement date.

PERSONAL GUARANTY

In consideration of the extending of the credit to the above company at my request, I hereby guarantee to Independent Pipe & Supply Corp. the prompt payment, when due, of every claim and debt of the above company to Independent Pipe & Supply Corp. This guarantee is given by accepting these terms in order to induce Independent Pipe & Supply Corp. to extend credit to the above named company. I hereby agree to bind myself to pay Independent Pipe & Supply Corp. on demand any sum, which may be or become due to Independent Pipe & Supply Corp. by the company whenever the company shall fail to pay the same. At its election and in its sole discretion, Independent Pipe & Supply Corp. may demand and collect payment of overdue amounts, costs and Attorneys’ fees on the above account from either the above company or the individual who submits this form. It is agreed suit may be brought in the Commonwealth of Massachusetts. This individual Guaranty is continuing and may only be revoked prospectively. Any such revocation to be effective must be signed and in writing. NOTICE: All notices and agreements shall be in writing and the parties can use the U.S. mails, any delivery service, which obtains and will furnish a signature evidencing delivery to the addressee or a Fax transmission, which provides sender with a record of such transmission being received.

Credit Application – Individual

Please fill out the Credit Application below, or you may download a copy of the credit application here and fax it to 781-821-8895.

 

Please state your full and complete legal name:

For each case please indicate whether the account is in your name, your spouse's or another person, a joint account or in the name of the applicant business.

CLICK + BUTTON TO ADD MORE REFERENCES

CLICK + BUTTON TO ADD MORE REFERENCES

I/We authorized the person or rm to whom this application is made to investigate the references listed pertaining to my/our credit responsibility. Furthermore, I agree to the terms of sale and returns policy of your company and all reasonable costs, collection fees, attorney’s fees and expenses incurred by me in the event of failure of applicant to pay all obligations and indebtedness when due. (Our terms include 11⁄2% Service Charge per month (18% per annum) on the unpaid balance after 30 days of the Statement date.

PERSONAL GUARANTY

In consideration of the extending of the credit to the above company at my request, I hereby guarantee to Independent Pipe & Supply Corp. the prompt payment, when due, of every claim and debt of the above company to Independent Pipe & Supply Corp. This guarantee is given by accepting these terms in order to induce Independent Pipe & Supply Corp. to extend credit to the above named company. I hereby agree to bind myself to pay Independent Pipe & Supply Corp. on demand any sum, which may be or become due to Independent Pipe & Supply Corp. by the company whenever the company shall fail to pay the same. At its election and in its sole discretion, Independent Pipe & Supply Corp. may demand and collect payment of overdue amounts, costs and Attorneys’ fees on the above account from either the above company or the individual who submits this form. It is agreed suit may be brought in the Commonwealth of Massachusetts. This individual Guaranty is continuing and may only be revoked prospectively. Any such revocation to be effective must be signed and in writing. NOTICE: All notices and agreements shall be in writing and the parties can use the U.S. mails, any delivery service, which obtains and will furnish a signature evidencing delivery to the addressee or a Fax transmission, which provides sender with a record of such transmission being received.

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