Credit Application

Terms & Conditions

Terms are Net 10 days from invoice date.
Zanker Road Landfill reserves the right to charge a 1.5% per month finance charge on outstanding balances.
Should legal action be brought by Zanker Road Landfill to collect any sums due Zanker Road Landfill, the prevailing party shall be entitled to reasonable attorneyʼs fees and court costs.

General Information

When corresponding, always reference your account number.
When remitting payment, always reference the invoice number and invoice amounts. If this is not done, then the payment will be applied to the older invoices on your account including any applicable finance charges.
Regarding discrepancies on invoices, call the office prior to remittance. Short paid invoices will be considered outstanding unless prior approval for any credits has been obtained.
Any accounts that are 60 days past due will be placed on "CASH ONLY" terms. The landfill will only transact business when accompanied by cash or credit card when your account is in this status.

Instructions for Completing Application

Include both your billing and physical location address.
To expedite the approval process, include phone and fax numbers, and contact names for all trade and bank references.
Call the office at (408) 263-2384 if you need assistance in completing the application.
You will be notified by fax or mail when your application has been approved.
Your submission of this form indicates that you are the person listed in the form, and that you have read and understand these conditions.

Application Information

This application is for which facility?: *

Zanker Facilities

Florin Perkins

Business Information

Phone: *

Fax: *

Email address: *

Firm name: * (applicant)

Parent company: (if subsidiary)

Location address: * (street address)

City: *

State: *

Zip: *

Accounts Payable Contact Name: *

Accounts Payable Contact Phone: *

Accounts Payable Contact Fax:

Billing Address: (if different)

Billing Address City: (if different)

Billing Address State: (if different)

Billing Address Zip: (if different)

Type of Business: *

Year Established: *

Firm Type: *

Corporation

Partnership

Sole Proprietor

Individual

Personal Information

Owner and Partner Data: *

Please include the Name, Title, and Home Address(es) for the Owner(s) and any other applicable parties.

Trade References

Within the State of California

Reference Information #1: *

Please include the Name, Phone Number, Mailing Address, and Business Type of at least one trade reference.

Reference Information #2:

Please include the Name, Phone Number, Mailing Address, and Business Type of at least one trade reference.

Reference Information #3:

Please include the Name, Phone Number, Mailing Address, and Business Type of at least one trade reference.

Other Information

Resale Number: (if applicable)

Attach Resale License:

Please attach a scan of your valid resale license. Accepted formats: .gif, .jpg, .doc, .pdf, and png. Alternatively, you may also mail a copy of the license to Zanker Road Landfill, 675 Los Esteros Road, San Jose, CA 95134.

Monthly Credit Requirement: *

Type of Commodity: *

Signature

Signature: *

I Agree

I hereby agree to all the terms and conditions of this application, including the right of Zanker Road Landfill to charge a 1.5% per month finance charge on outstanding amounts, and state that all information given to Zanker Road Landfill is correct. My signature authorizes Zanker Road Landfill to verify the above information which may include obtaining a credit report on the owner and/or principles.

Name: *

Title: *

Must be signed by an owner, partner, or officer

Guarantee

Guarantee: *

I Agree

The undersigned hereby personally guarantees payment of any debts and/or obligations incurred by
firm/owner to whom credit has been extended by Zanker Road Landfill.

Name: *

Print Name: *

Must be signed by an owner, partner, or officer