SOUTHLAND PROPANE COMMERCIAL CUSTOMER APPLICATION

We must charge sales tax if you are not tax exempt.

If yes, please send a copy of your exemption certificate.

TRADE REFERENCES

BANK INFORMATION

Applicant’s signature attest to financial responsibility, ability and willingness to pay invoices in accordance with following terms:  net 30 days from date of delivery, unless otherwise agreed in writing by Southland Propane Service, Inc. and customer.  A finance charge will be charged on all accounts over 30 days past due.  It is attested that all information provided is true and accurate and that applicant’s company is financially able to meet all payment terms and that Southland invoices will be paid according to terms and that maximum legal interest will be charged on past due balance together will all statement fees, court costs, and actual reasonable attorney fees and collection fees which may arise in connection with collection of this account.