Credit Application

Petro Serve USA Helping America Fuel Better since 1934

  • - -
  • Tax Information

  • Select a Choice *
  • References

  • - -
  • - -
  • - -
  • Bank Information

  • Types of Purchases
  • - -
  • $ .
  • All balances are due and payable on or before the 15th of the month following date of purchase (except as otherwise noted). Any account not paid in accordance with the above terms will be considered past due and a finance charge will be computed by a single periodic rate of 1 and ½% per month, 18% per annum. Collection expenses and or attorney fees will be added if an attorney is employed for collection.
    The above information is warranted to be true and is given for the definite purpose of obtaining credit. I/We authorize Petro Serve USA to verify, without liability, the references contained within.
    Applicant's signature warrants: (A) ability and willingness to pay invoices in accordance with the above terms, (B) agreement to pay a finance charge, as stated above, on past due balances, and (C) agreement to pay all reasonable costs of collection - including attorney fees if needed.
Wufoo Designed