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973-672-2260
Take the Fast Lane
Account Application
Apply for a Washington Auto Parts commercial account below, or download the existing PDF application and return it using the contact details provided.
Return via email:
washington@wautop.com
Or fax:
(973) 672-0579
Questions? Call
973-672-2260
Prefer to fill out a PDF?
Download the printable version
and return via email or fax.
Download PDF
1
Business Contact Information
Title
*
Date Business Commenced
*
Company Name
*
Authorized Employees
Business Phone
*
Fax
Company Address
*
City, State, ZIP
*
Business Email
*
Business Type
*
Sole Proprietorship
Partnership
Corporation
Other
2
Owner / Principal Information
Name of Owner / Officer
*
Home Address
*
City, State, ZIP
*
Mobile Phone
*
Date of Birth
*
Account Number (existing customers)
Personal Email
Account Type Request
*
COD
Pay on delivery
DAILY
Pay end of day
WEEKLY
Pay end of week
MONTHLY
Statement due 10th
3
Personal Guarantee & Terms
Cash Accounts
— Payment for all purchases are due upon delivery and/or the same day by the close of business.
Weekly Accounts
— Payment for all purchases are due at the end of the week by close of business.
Monthly Accounts
— Statement is generated on the 1st of the month and due by the 10th. All monies paid will be applied to the oldest invoices unless otherwise specified. All accounts are subject to a monthly late fee of 1½% on all past due balances. The terms and contracts are enforceable in the courts of Essex County, NJ. By submitting this application, I authorize Washington Auto Parts (MESG Corp) to investigate and verify my individual/company credit and all information listed above. I agree that if my account is turned over to an attorney, I will be responsible for all collection costs of 33.333%, including costs of court and all related fees. A service charge of $35 will be incurred for any returned check. Statements are sent via Email, Fax, or delivered upon request.
The undersigned personally guarantees and agrees to pay when due, or on demand, the full amount due to Washington Auto Parts (MESG Corp), plus attorney fees and collection costs. I understand that in the event of default, Washington Auto Parts (MESG Corp) will pursue me for the amount due and may report on my personal credit file.
I have read and agree to the Personal Guarantee terms above
*
Name & Title
*
Date
*
Guarantor Signature — Type full legal name to sign
*
Submit Application
By submitting this form, you authorize Washington Auto Parts (MESG Corp) to verify your credit and business information. We will contact you within 1 business day to confirm your account status.
Prefer another method?
Email washington@wautop.com
|
Fax (973) 672-0579
|
Call 973-672-2260
You're in the Fast Lane!
Your application has been received. A Washington Auto Parts team member will review your information and reach out within
1 business day
to confirm your account.
Questions in the meantime? Call us at
973-672-2260
.
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