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   Wesso, Inc.
13843 Highway 105 W., #316
Conroe, TX 77304

FAX:  936-588-8989

30 Day Credit Application
Print this form and complete all fields.  Fax or mail to the address above.
YOUR BUSINESS INFORMATION
Firm Name  ____________________________________________________________________
Select One                      Corporation                    Partnership                    Individual
Address  ______________________________________________________________________
City  __________________     State  __________     Country  ___________     Zipcode  _______
Phone  _____________
Contact Name/Title for purchase orders and invoice payments  _____________________________
CREDIT REFERENCES (list 3)
1.  Trade Reference  ________________________________________     Phone  _____________
Address  ______________________________________________________________________
City  __________________     State  __________     Country  ___________     Zipcode  _______
2.  Trade Reference  ________________________________________     Phone  _____________
Address  ______________________________________________________________________
City  __________________     State  __________     Country  ___________     Zipcode  _______
3.  Trade Reference  ________________________________________     Phone  _____________
Address  ______________________________________________________________________
City  __________________     State  __________     Country  ___________      Zipcode  _______
BANK REFERENCE
Bank  _____________________________       Bank Officer  _____________________________
Address  ______________________________________________________________________
City  __________________     State  __________     Country  ___________     Zipcode  _______
Phone  _____________
Checking Account #  _____________________________________
Signature  __________________________________________________________________
Date  ____________