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Credit Application
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Credit Application
Product Registration

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Welcome
Credit Application
Product Registration

Welcome
Credit Application
Product Registration

Credit Application

(*) Required Field Applicant represents and warrants that all information disclosed herein and, in any documents, furnished to Wholesale Electric Caribe Inc. in connection with this application for credit are true and correct.

Credit Application

Account Information
Bank Reference(s)
Trade Reference(s)
Page 4
Page 5

Legal Business Name *

Commercial Name (If Apply)

Date

Business Type *

Sole Proprietor

Corporation

Partnership

LLC

S.A. (Excluding PR)

SURI Registration Certificate

Is your business registered in Puerto Rico? *

Yes

No

SURI File

Maximum file size: 16.78MB

Officer(s) (If a Corporation)

Name *

Participation %

%

Social Security Number (See T&C #1)

Title

Home Address

Home Address

Home Address

Home Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Home Phone

Mobile Phone

Email Address

Owner(s) (If Sole Proprietor or Partnership)

Name *

Participation %

%

Social Security Number (See T&C #1)

Title

Home Address

Home Address

Home Address

Home Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Home Phone

Mobile Phone

Email Address

Do you have a Certificate of Incorporation?

Do you have a Certificate Incorporation?

Yes

No

File Upload

Maximum file size: 16.78MB

Do you have a Bond Copy? (If Project Exists)

Applicants with a limit greater than $10k must include recent financial statements *

Yes

No

File Upload

Maximum file size: 16.78MB

Business BillingAddress *

Business BillingAddress

Business BillingAddress

Business BillingAddress

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Is your Physical Address same as Billing Address? *

Yes

No

Business Physical Address

Business Physical Address

Business Physical Address

Business Physical Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

Telephone Number

Fax Number

Incorporation Date *

D & B Number

Incorporation Country *

Incorporation Number *

Federal I.D. Number *

RUC & DV Number

Contactor’s License Number

Sales Tax Exemption? *

Yes

No

If “YES” please provide a Sales Tax Exemption Certificate and return with this application, or you will be charged tax.

Sales Tax Exemption Certificate *

Maximum file size: 16.78MB

Have you or any business with which you were affiliated filed any bankruptcy or reorganization proceedings within the last (10) years?

Yes

No

If Yes, state the name of the person or business who filed:

Name or Business

When the filing occurred

Have you or any business with which you were affiliated ever had an account with Wholesale Electric Caribe Inc.?

Yes

No

If Yes, state the name of the person or business who had the account:

Name or Business

When was the account opened

Accounts Payable Contact

Name of Accounts Payable Contact *

Telephone Number

Ext #

Fax Number

Email Address to send Invoices *

Purchasing Materials Contact

Name of Person *

Title

Telephone Number

Ext #

Email Address

If you are human, leave this field blank.

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