Customer Set-up

Credit Application

Welcome to Bayly Inc.'s web site. Please contact our knowledgeable sales department at 954-923-0255 or 800-882-0255  to help you set up as a customer dealer or fax your request on your business letterhead to 954-923-9596. Please include the following items in your application for credit:

Legal Name of Business: ______________________________ Established (year): _______________ The business is a _______________ under the laws of the state of __________. Business Address: ______________________________ City _______________ State _____ Zip Code __________ Phone # ____________________ State Sales Tax # ____________________ The owners and/or officers are: Name: ___________________ Title: ____________________ Name: ___________________ Title: ____________________ Name of Bank ______________________________ Address: ______________________________ Phone #: _________________ Account #: _______________ Three uniform industry related credit references. Include company name, address, phone and fax numbers, and contact name. ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________