New Customer Application


Thank you for your interest in doing business with us! To get started, please fill out the form below. If you intend to pay by credit card, please enter '0' for the Credit Limit Requested value, and add "will pay by credit card" in the Additional Notes area below. If you are applying for credit terms, enter your requested credit limit, and provide at least 3 trade references (required). For timely application processing, 5 trade references are recommended.

Company Information

Type of Business:

Product Lines Your Company Is Interested In:

Billing Information
Purchase Agreement

I (We) promise to pay each invoice in full within 30 days of the date of the invoice. If, however, this account is not paid as agreed, a delinquency charge shall accrue on the amount of the unpaid balance at the end of the month following the date of invoice. The delinquency charge shall be computed at the rate of 18% per annum on the unpaid balance or at the highest rate of interest allowed by applicable law, for loans or forbearance of money, whichever is less: provided, said charge shall be computed at a rate not less than 12% per annum. We agree to give written notice to TRAVIS PATTERN & FOUNDRY prior to the sale or transfer of all or substantially all of the stock or assets of our business; if we fail to do so, then we shall remain fully liable for any unpaid merchandise received by the buyer or transferee of the business. If this account is placed in the hands of a licensed collection agency, I (we) then agree to pay you, as liquidated damages in addition to the foregoing, an amount equal to the amount charged to you, on said collection by such collection agency, not exceeding, however (35%) of the amount unpaid thereon, together with such reasonable attorney fees as may be incurred in connection with the collection.

This agreement is governed by State of Washington law, without regard to conflict of laws.

I (We) hereby certify that the above information is true and correct to the best of my (our) knowledge. You are hereby authorized to contact any or all of the above references regarding our credit standing. I understand the above-stated credit terms and policy as stated and agreed to.