CREDIT APPLICATION

Jacksonville       Duval County                 904-346-1266
St Augustine      St Johns County             904-824-7144
Orange Park       Clay County                   904-264-6444
Jacksonville Beaches    Duval County      904-246-3969
Fernandina          Nassau County               904-277-3040
Macclenny          Baker County                 904-259-5091
Palm Coast         Flagler County                386-439-5290
Daytona              Volusia County               386-253-4911
Serving all of Florida  and Georgia    at     904-346-1266

EMAIL LARRY@1STPROP.COM (feel free to email your bidding packages here)

 

Thank you for your interest in our company. Attached you will find our credit application that will enable you to use all of our service companies.

 

ASAP Plumbing & Drain Cleaning Company

 

ASAP Tile Installers

ASAP IRRIGATION

ALL PRO GAS

ALL PRO PLUMBING

ASAP ROOF AND INSPECTION SERVICES

ASAP GENERAL CONTRACTING

ASAP BACKFLOW

 

Thank you,

Credit Department

 

 

ASAP  COMPANYS

CAN SERVICE THE FOLLOWING

COUNTIES IN NORTH EASTERN FLORIDA

 

ALACHUA, BAKER, BRADFORD, CLAY, COLUMBIA, DIXIE, DUVAL,

FLAGLER, GILCHRIST, LEVY, NASSAU, PUTNAM, ST JOHNS, UNION

 

AND IN SOUTH EASTERN GEORGIA

 

CAMDEN AND CHARLTON COUNTIES.

 

Additional services that we offer

 

 

 

* PLUMBING

*DRAIN CLEANING

*COMMERCIAL REMODELING

*PUMP REPAIR

*HIGH PRESSURE WATER JETTING FOR SEWERS

*SHOWER STALLS AND PANS

*TOTAL BATHROOM REMODELING

*LIFT STATIONS

*TILE INSTALLATION AND REPAIRS

*DRYWALL REPAIRS

 

TV VIDEO SEWER CAMERA

 

* BACKFLOW TESTING AND CERTIFICATION

 

 

 

PO BOX 48070

JACKSONVILLE, FL 32247

 

Fax (904) 346-0770

CREDIT APPLICATION

 

ASAP PLUMBING AND DRAIN CLEANING COMPANY

 

FIRST NAME LAST NAME TELEPHONE

( )

BILL TO ADDRESS CITY STATE ZIP

NAME AND ADDRESS OF PARENT COMPANY, IF SUBSIDIARY/DIVISION

HOW LONG IN BUSINESS _________ FULL OR PART TIME ________ IF PART TIME, PLACE OF EMPLOYMENT _______________

TYPE OF BUSINESS

CREDIT LIMIT REQUESTED NAME OF CONTROLLER ACCOUNTS PAYABLE CONTACT

( ) CORPORATION ( STATE OF INCORPORATION_____________ ) ( ) PARTNERSHIP ( ) SOLE PROPRIETOR

PROPRIETOR, PARTNERS, OR OFFICERS

NAME HOME ADDRESS

NAME HOME ADDRESS

NAME HOME ADDRESS

TRADE REFERNCES

NAME__________________________________ ADDRESS_____________________________________ TELEPHONE ( )____________________

ACCOUNT NUMBER ___________________ CITY________________________ STATE ____________ ZIP _________________

NAME__________________________________ ADDRESS_____________________________________ TELEPHONE ( )____________________

ACCOUNT NUMBER ___________________ CITY________________________ STATE ____________ ZIP _________________

NAME__________________________________ ADDRESS_____________________________________ TELEPHONE ( )____________________

 

ACCOUNT NUMBER ___________________ CITY________________________ STATE ____________ ZIP _________________ BANK NAME ADDRESS

 

ACCOUNT NO. CITY STATE ZIP

 

forward to doing business with you.

 

 

 

CREDIT APPLICATION

A) The attached credit application 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 reverences listed pertaining to my/our credit and credit responsibilities. I/We authorize the release of information from the above-mentioned companies in regards to my/our payment history.

B) I/We personally guarantee that all bills submitted to me will be paid within 60 days of service. I also agree in advance that if I fail to pay within 60 days of service that ASAP is authorized to charge my credit card.

Card Number ________________________________________________

Expiration Date _____________________________

C) This agreement authorizes ASAP Companies and it’s subsidiaries and affiliated companies to do maintenance service on my properties, which I own and/or manage on behalf of someone else. This agreement authorizes my employees to call in service orders on behalf of me and/or my company and/or affiliated entities.

D) This agreement may change from time to time. ASAP will notify you via regular U.S. mail of any changes in the agreement with a minimum of 30 days notice. This agreement shall incorporate all conditions, guarantees, warranties, and statements found on the FIELD COPY that our technicians use at time of service.

E) I/We have read the above and agree to all terms and conditions.

Owner’s signature _______________________________ Title__________________________________________

Or owner’s representative

Print Name___________________________________________________________________

Driver’s License Number and State _______________________________________________

Date ____________________________

 

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