Personal Account Application

Personal Account Application

Applicant

Name(Required)
Years at Present Address(Required)
Address(Required)
MM slash DD slash YYYY
Employer Address

Complete Only:

1) For a joint account 2) If applicant is applying for an individual account and wants to rely on spouse's income to repay credit extended
Is this an application for a joint account?
Additional Person's Name
Employer's Address

Credit References

Reference 1 Name(Required)
Reference 1 Address(Required)
Reference 2 Name(Required)
Reference 2 Address(Required)
Reference 3 Name(Required)
Reference 3 Address(Required)
Reference 4 Name(Required)
Reference 4 Address(Required)
Savings Account(Required)
Checking Account(Required)
Mortgage(Required)
Auto Loan(Required)

Applicant's Signatures

NOTE: BOTH SIGNATURES ARE REQUIRED ONLY FOR A JOINT ACCOUNT OR WHERE YOU ARE RELYING ON A SPOUSES INCOME TO REPAY CREDIT EXTENDED. The undersigned Applicant(s) hereby provides the above information for the purpose of obtaining credit and authorizes the obtaining of information concerning any statement made herein and the investigation of credit worthiness of the Applicant(s). Consumer reports may be requested in connection with the processing of this application and subsequently pursuant to the Fair Credit Reporting Act. Upon request, J. Wright Building Center, Inc. (“Wright Building Center”) will inform Applicant(s) of the names and addresses of any consumer reporting agencies that have provided such reports. Applicant(s) agrees to be bound by the terms and conditions set forth in the following credit policy: All accounts are billed monthly, and payment is due in full by the 10th of the month following a credit purchase. By signing this credit agreement, Applicant(s) accepts responsibility and agrees to pay for every invoice that is charged to the account. The Applicant(s) will be jointly and severally liable for all credits advanced as a result of all charges against the account (including, but not limited to, unauthorized use of the account) and that the charges were the duly authorized act of and are binding upon the applicant(s). Any and all such requests and agreements shall remain in full force and effect until written notice of the amendment, rescission or termination thereof has been delivered to and receipted for by Wright Building Center. A 1.5% per month late charge is added to delinquent accounts. Accounts are considered delinquent on the 11th day of the month following a credit purchase if payment is not received. In the event an account is delinquent, additional charges will be added for costs, expenses, and attorneys and other fees paid or incurred or adjudged by a court, as a consequence of nonpayment including all reasonable cost of collection, including costs and expenses of attorneys fees towards the collection and enforcement of the obligation to pay, whether suit is filed or not. If credit is required for a period of time exceeding 30 days, arrangements must be made with a bank or other financing agency in advance.
(additional party)
MM slash DD slash YYYY

Account Questions

Hold tight, just a few more questions!
Delivery Address
Is your delivery address different than your mailing address? Example; rental property, new construction or shop address. If different, please note above.
Authorized User Name
Please list all authorized users.
Authorized User Name
Authorized User Name
Authorized User Name
Statements(Required)
Emailed Invoices(Required)
Emails are sent out at the time of purchase.
Account Access(Required)
24-7 access to your account; login to view invoices, credits, statements and payments.
Payments
Statement balance is due in full on the 10th of each month.