Credit Application

Michigan DOT Inspection - Diesel Repair - Semi Repair - Ford Truck Repair - GM / Chevy Truck Repair - Serving Southeastern Michigan and Detroit Metro Community

Please take a few moments to fill out our credit application below. Upon completion click submit; a copy of the application will be sent to the email provided at the begining of the form within a few minutes of submission for printing. Please follow instructions you receive on what to do with your printed copy after clicking submit. Thank you for your interest in Garrett Auto, we value and appreciate your business.

Name of Firm or Individual: *

Address: *

City: *

State: *

Zip: *

Years at Address: *

Phone: *

Contact Email: *

______________________________________________________________________

:: Ownership ::

Type of Ownership: *

Check here if incorporated in the last 12 months.

Name of Principal: *

Address: *

City: *

State: *

Zip: *

Name of Principal #2:

Address:

City:

State:

Zip:

______________________________________________________________________

:: Banking Information ::

Bank Name: *

Address: *

City: *

State: *

Zip: *

Phone: *

______________________________________________________________________

:: References ::

Business Name: *

Contact Person: *

Address: *

City: *

State: *

Zip: *

Phone: *

Business Name: *

Contact Person: *

Address: *

City: *

State: *

Zip: *

Phone: *

Business Name: *

Contact Person: *

Address: *

City: *

State: *

Zip: *

Phone: *

Check Box if CASH SALES are acceptable until credit approval.

______________________________________________________________________

:: Contact Information ::

Who is the proper person to contact when we have a question regarding the needs of your fleet? *

Are vehicle drivers authorized to approve repairs? *

List of Authorized Drivers: *

Is there a dollar limit on this privilege? *

Limit Amount:

Do you require a purchase order number on your invoices? *

Signature: * _________________________________

Date: * __________

Title: * _____________________________

______________________________________________________________________

By signing above I/We certify that ALL the information on this application is correct. I/We fully understand the Credit Terms of Garrett Auto & Truck Service and agree to the proper payment in consideration of extended credit and that all preceding information will be held in the strictest of confidence by Garrett Auto & Truck Service and it's representatives.

~For Office Use Only~

Checked By:___________________________

Results:_______________________________

Approved by:__________________________

Refused by:____________________________

eCommerce Website Design