THOMPSON BUICK-PONTIAC-GMC-CADILLAC

THOMPSON CADILLAC-OLDSMOBILE, INC.

BUSINESS ACCOUNT UPDATE FORM

BUSINES CONTACT INFORMATION

*Agent / Owner Name:

*Title:

*Company / Corporation Name:

*Phone

*Fax:

*Email

*Registered Company Address:

*City:

*State:

*Zip Code:

*Registered Mailing Address:

*City:

*State:

*Zip Code:

*Date Business Commenced:

*Sole Proprietorship:

*Partnership:

*Corporation:

*Other:

BUSINES / TRADE REFERENCE INFORMATION

*Primary Business Address:

*City:

*State:

*Zip Code:

*How long at current address?

*Phone:

*Fax:

*E-Mail:

*Bank Name:

*Bank Address:

*City:

*State:

*Zip Code:

*Bank Contact Person:

*Account Type: Checking Savings Other

BUSINES / TRADE REFERENCE INFORMATION

*Company Name

*Street Address:

*City:

*State:

*Zip Code:

*Phone:

*Fax:

*E-Mail:

*Type of Account:

AUTHORIZED SIGNATURES

*Name:

*N.C. Driver License Number:

Name:

N.C. Driver License Number:

Name:

N.C. Driver License Number:

By clicking this box, I agree to receive in-person or automated telemarketing calls and texts from Dealer Auto Parts Source at the number I entered. I understand that my consent is not required for purchase.

CREDIT AGREEMENT

All invoices are billed Net 30 days, with payment due by the 10th of the next month.
Claims arising from invoices must be made within seven working days.
By submitting this application, you authorize Thompson Buick-Pontiac-GMC-Cadillac to make inquires into the banking and business/trade references you have provided.