Credit Application
Please fill out the online credit applecation below or click on the link below to download a printable version of our Credit Application. Please fill it out and fax to (661) 589-2883.
Online Commercial Credit Application
Sales Rep:
Company Name
Choose One:
DBA Name Federal ID# State Resale # Corporation ID#
Type Of Business Phone Fax E-Mail
Billing Address
Address City State Zip
Delivery Address If the same as billing address check here
Bank Account Information
Bank Acct# Phone Contact
Trade References
Name City State Phone Contact
Principals of Company
Name SS # Title Home Address: City State Zip Home Phone
I agree to pay all invoices on time; pay 1.5% per month service charge on past due amounts, and pays legal costs and attorney fees if collection of account is necessary. I certify the foregoing information is true and correct. I authorize Pence Petroleum Company, Inc. to contact any or all of the above listed banks and trade references for credit verification purposes. Name Title Date
Personal Guarantee
In consideration for the extension of credit by Pence Petroleum Company, Inc. to The undersigned hereby agrees to personally guarantee payment after any indebt ness owing to Pence Petroleum Company, Inc. should legal action be required to collect said indebt ness and to enforce this personal guarantee then the undersigned further agrees to pay reasonable attorney fees and collection costs. Guarantor Date Guarantor Date