Customer Credit Application

Apply for equipment financing through Seneca Companies.

Please fill out the Seneca Customer Credit Application bellow in order to set up a Bill to Account with Seneca Companies.

Seneca uses the signed application, which authorizes your bank to release information to Seneca, in order to obtain an independent bank verification of your deposit balances on hand. Seneca DOES NOT run a credit check so this application does not affect credit reports.

All information is regarded with the utmost security in mind and processed through a secure submission process directly to our accounting department.

If you prefer to complete a PDF version of the application, please download it here.

All fields marked with an * are required.

Applicant Information

Line of Credit Requested *

Fed Tax ID/SSN *

Applicant's Name *

Seneca Companies Sales Representative’s Name – if known

D/B/A*

Phone *

Fax

Email *

Company Web Address

Mailing Address *

Mailing City *

Mailing County *

Mailing State *

Mailing Zip *

Shipping Address *

Shipping City *

Shipping County *

Shipping State *

Shipping Zip *

Describe Your Business Operation

Are you exempt from sales tax? (If yes, you will be asked to provide your sales tax exemption certificate.)*

Ownership *

Sole Owner
Partnership
Corp.
LLC

State Where Incorporated *

Date Established *

Years in Business *

Sales Tax Rate *

Tax Jurisdiction *

State
County
City

Number of Employees

Estimated Annual Sales

Sales Area

Accounts Payable Contact *

Accounts Payable Contact Email *

Principal Name (1) *

Principal Title (1) *

Principal Name (2)

Principal Title (2)

Trade References (Name suppliers of major products and service)

Reference 1

Name *

Address *

Phone *

Fax

Reference 2

Name *

Address *

Phone *

Fax

Reference 3

Name

Address

Phone

Fax

Reference 4

Name

Address

Phone

Fax

Bank References

Bank Name *

Bank Address *

Bank City *

Bank State *

Bank Zip *

Bank Phone *

Bank Fax *

Bank Website

Bank Contact Name *

Bank Contact Phone *

Bank Contact Fax

Bank Contact Email

Account # (1) *

Account Type (1) *

Checking/Savings
Loan
Line of Credit

Account # (2)

Account Type (2)

Checking/Savings
Loan
Line of Credit

Has your firm or any of its Principals ever been bankrupt? (If yes, please explain in a separate email to accountsreceivable@senecaco.com) *

Terms and Conditions

Application. These terms and conditions apply to all of Customer’s accounts with any of the Seneca entities including, without limitation, Seneca Companies, Inc, and Seneca Waste Solutions, Inc., [hereinafter “Seneca”]. These terms and conditions represent the entire and integrated terms and conditions between the parties and supersedes all prior negotiations, representations or agreements, whether written or oral. These terms and conditions also supersede terms and conditions attached to purchase orders.
Payment. All prices are F.O.B. shipping point and subject to change without notice. Customer agrees to pay all account balances in full within 10 days from receipt of invoice. Balances not received in full within 30 days shall bear a late payment fee of 1.5% per month (18% per year). All transactions are subject to a $40.00 minimum billing charge. Customer is responsible for all applicable taxes. Customer shall pay a $30.00 fee for each check returned for insufficient funds. Payment by credit card may incur additional applicable fees.
Returns and Cancellation. All sales to Customer are final and no returns will be allowed except at the discretion and upon terms acceptable to Seneca. Cores must be returned within 30 days of original shipment to be considered for credit.
Third Party Payment. Customer is responsible for full and timely payment of account balances regardless of whether Customer has received payment under any insurance policy, or from any third person or entity that may agree to or may be legally required to pay Customer’s account balance. Upon request of Seneca, Customer shall assign to Seneca any and all rights it may have to third party payments. Upon assignment, Seneca is entitled to seek any remedies that Customer would have had for third party payments.
Purchase Money Security Interest. Customer grants to Seneca a purchase money security interest in all goods sold to Customer, including all proceeds, accessories, and replacements (collectively “Collateral”). Customer hereby appoints Seneca as its attorney in fact to execute and file any documents necessary to perfect its security interest in the Collateral. Customer shall not grant a security interest in the Collateral to any other party and shall keep the Collateral insured for its replacement value, naming Seneca as a loss payee and additional insured. The Collateral shall not be removed or moved except upon notice to Seneca. If Customer fails to pay Seneca in a timely manner, Customer consents to and authorizes Seneca to exercise all self-help remedies allowed under law, including without limitation, dismantling and removal of the Collateral or otherwise disabling the Customer’s use of the collateral and Seneca shall not be liable for any incidental or consequential damages as a result thereof.
Warranties. Seneca sells all goods “as is”. All goods sold are warranted only by the manufacturer’s warranty, if any, and such warranties are passed from Seneca to the Customer according to the manufacturer’s policy. No other warranty, express or implied, is made or intended by Seneca including the warranty of merchantability or fitness for a particular purpose. Seneca is at all times acting as an independent contractor in performance of services under this Agreement. Seneca will perform services using that degree of skill and care ordinarily exercised by other members of the profession under similar circumstances. No other warranty, express or implied, is made or intended by Seneca. Customer warrants that all information provided to Seneca is true and correct and that Customer has disclosed all adverse or unfavorable conditions that may affect this Agreement.
Credit Approval. Customer’s application for credit is not a guaranty that Seneca will grant such credit. Seneca at its sole discretion can approve or not approve credit for any Customer or project.
Termination. Seneca may, without prejudice to any right or remedy, terminate its relationship with customer upon notice to customer.
Remedies and Indemnity. In the event of breach of this Agreement by Customer, Seneca may proceed in law or equity to enforce its rights hereunder. Seneca, at its discretion, may elect to proceed by arbitration which shall be binding on the Parties. Customer shall pay all costs and expenses, including attorney’s fees, incurred by Seneca in enforcing its rights hereunder, and shall indemnify, defend, and hold harmless Seneca from and against all claims, demands, and causes of actions arising out of or resulting from Customer’s breach of this Agreement.
Limitation of Liability. Seneca shall be liable only for damages that are a direct result of the negligence of Seneca except that Customer agrees that Seneca’s total liability to Customer for claims arising out of or arising from Seneca’s sale of goods or performance of services under this Agreement shall not exceed $50,000 or the total fees payable to Seneca for the particular project, whichever is less, and that Seneca shall not be liable for any special, punitive, incidental, or consequential damages (including without limitation, loss of profits or income, loss of use of property, business interruption, cost of replacing goods or services, or third party claims). Any claims, demands, or causes of action against Seneca arising from or related in any manner to this Agreement, or to work, services, goods or products provided by Seneca pursuant to this agreement, must be brought within two (2) years from the date the work, service or provision of goods or products has been completed.
Force Majeure. Seneca shall not be liable for failure or delay in performing under this Agreement to the extent that such failure or delay is caused by an event or causes beyond Seneca’s control.
Assignment. This Agreement may not be assigned by Customer without written consent of Seneca. If assigned, Customer will continue to be bound by this Agreement and will be liable for all terms and conditions contained herein.
Jurisdiction and Venue. Customer agrees that this Agreement shall be governed by Iowa law and jurisdiction and venue shall be with the Iowa District Court for Polk County or as otherwise required by law.
Service Level Agreements. Customer and Seneca may enter into Service Level Agreements with any of the Seneca entities which shall also be subject to these Terms and Conditions. Service Level Agreements may include without limitation service orders, purchase orders, proposals, and quotes. This Agreement along with any applicable Service Level Agreements and referenced attachments shall constitute the entire agreement between the parties, and any other understanding or representation of any kind shall not be binding upon either party.
Amendments. Any modification of this Agreement shall be binding only if evidenced in writing signed by each Party.
Severability. Should any provision herein be deemed invalid or unenforceable, all other provisions shall remain in effect.

Acceptance & Signature

By checking this box and submitting this electronic application, I affirm that I have read and I agree to the conditions of the application above, and that all information I have provided in this application is correct and complete to the best of my knowledge.

Do you agree? *

Yes, I agree.

This applicant, as an inducement to grant credit, warrants that the information submitted is true and correct. Applicant has read and agrees to pay its account in accordance with the terms and conditions set forth on the attached page. Seneca is authorized to investigate the applicant’s credit.

Electronic Signature *

Name *

Title *

Personal Guarantee
The undersigned unconditionally guarantees to Seneca the payment of the Customer’s accounts.

Guarantee Signature *

Name *

Title *