Northside Hardware Inc.

Application Information

Financial Information

Office Use Only:                                                                                      

 Individuals Name:________________________________________________

Address:_______________________________________________________

Phone No.:______________________________________________________

SS #:________-_____-________ (Must be Included)                                  

Birth Date:___________________                                                                      

______Denied   ______Approved    Credit Limit $______________________

Phone: (920) 734-5944 

1415 N Richmond St. Appleton, WI 54911

Credit Application

Credit Reference

Contact Information

Credit Application


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.