Northside Hardware Inc.
Office Use Only:
SS #:________-_____-________ (Must be Included)
______Denied ______Approved Credit Limit $______________________
Phone: (920) 734-5944
1415 N Richmond St. Appleton, WI 54911
In making this application for credit, I understand that information is obtained through personal interviews with my neighbors, friends, or others with whom I am acquainted. This inquiry includes information as to my character, and general reputation. I understand that I have the right to make a written request about the scope of this investigative report. If credit is extended, I agree to the terms of net 30 days, and to pay interest of 1.5% per billing period on all invoices not paid within the net 30 day terms.