CentralPro Corporate Credit Account Application

*Required Fields

  • From which branch will you be making most of your purchases?
  • Type of Entity
  • Your purchases will be
  • If exempt, attach your exemption certificate.
  • Do you require purchase orders?

Trade References

  • Reference #1
  • Reference #2
  • Reference #3
  • Reference #4
  • Reference #5
  • Reference #6

I understand the information furnished on this application is for the purpose of obtaining credit from your firm. I am authorized, to bind my firm accordingly. All monies due shall be due and payable at your place of business, and include any interest due and all costs of collection, including but not limited to court costs and reasonable attorney fees. To the extent permitted by law, I hereby waive any protection or exemption from garnishment to which I may be entitled.


At our discretion, Central Pump & Supply will file a Notice to Owner. Purchaser agrees to supply Central Pump & Supply with "Notice of Commencement," purchase orders, job names, job addresses, and a current list of employees permitted to order, pick up and sign for materials. If materials are ordered for delivery to a jobsite, the applicant assumes liability for the materials at time of delivery regardless if customer’s representative is on hand to acknowledge receipt of delivery. Customer agrees to pay standard delivery charges as billed. Applicant agrees to notify Central Pump & Supply, Inc. in writing within ten (10) days of receipt of invoices or monthly statement of any discrepancy in billing or receiving of merchandise. In the absence of timely written notification, it will thereafter be conclusively presumed that the invoices and statements are correct in all particulars and that purchaser received the assets described upon each of said invoices.

Personal Guarantee

In consideration of the extension of credit granted by Central Pump & Supply, Inc. to

I (we) hereby jointly and severally, unconditionally guaranty payment of whatever amount shall at any time be owing to Central Pump & Supply, Inc., on account of goods hereafter delivered; whether said indebtedness be in the form of notes, bills, or open account. This shall be an open and continuing guaranty and continue in force notwithstanding any change in form of such indebtedness or renewals of extensions granted without obtaining any consent thereto. This guaranty shall continue until expressly revoked by written notice by certified mail, return receipt from the undersigned. In addition, the undersigned additionally and jointly and severally unconditionally guaranty payment of any interest due and all costs of collection, including but not limited to court costs and a reasonable attorney's fee for trial or appeal. Notice of indebtedness and default in payment are hereby waived. It is agreed that all amounts owed will be payable to Central Pump & Supply, Inc. and in the event of default in payment, any suit for collection shall be brought in Brevard County, Florida.

Authorization to release credit information.

I have a credit or bank account with your firm and request that a report of my credit history be forwarded to Central Pump & Supply, Inc. Please consider my signature on this letter as authorization to release this information. Thank you for your cooperation.