Triad Temporary Services, Inc.

New Customer Credit Information

Thank you for your inquiry/order.  To enable us to process your job order as soon as possible, please fill out this form with the information of your bank and 2 vendors with which you do business.  As this is not a secure site, please fax or mail your credit information to us.

Company Name:

Name of Owner/President:

Company structure:___ Proprietorship___ Partnership___ Corporation

Billing address:

Billing contact:

Phone:

Fax:

E-mail address:

Web site:

* * * * * * * * * * * * * * * * * * 

Name of your Bank:

Mailing address:

City/State/Zip:

Account #:

Phone:

Fax:

* * * * * * * * * * * * * * * * * * 

Vendor:

Mailing address:

City/State/Zip:

Account #:

Phone:

Fax:

* * * * * * * * * * * * * * * * * * 

Vendor:

Mailing address:

City/State/Zip:

Account #:

Phone:

Fax:

I UNDERSTAND THAT ALL INVOICES ARE DUE UPON RECEIPT.

I authorize the above named companies to release credit information to Triad Temporary Services, Inc. (Must be signed by an authorized signature).  

Triad Temporary Services, Inc. workman's compensation insurance restricts our employees to lifting no more than 40 pounds unassisted.  I understand this policy and agree to abide by it.

________________________                    _____________
Authorized Signature/Title                            Date

Triad Temporary Services, Inc.
156 Commerce St., Suite 250
P.O. Box 789
Williston, VT  05495
phone:  (802) 864-8255
toll free:  1-800-894-8455
fax:   (802) 864-0046
email:  info@triadtemp.com

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All rights reserved