Redefining the Standard in Valve Solutions

Credit Application

Thank you for your interest in establishing credit with OSSIA Process Solutions.
Please complete all sections of this application. Incomplete applications may delay processing.

Company Information

Credit Information Requested

Payment Terms

All invoices issued by OSSIA Process Solutions are due and payable within thirty (30) days from the invoice date (Net 30), unless otherwise agreed to in writing by OSSIA Process Solutions.

Accounts Payable / Receivable

Invoicing Requirements

If Online via Portal
Please indicate any other invoice requirements

Bank Reference

Trade References

Please provide at least three (3) trade references with whom your company currently does business.

Reference 1

Reference 2

Reference 3

Reference 4

Authorization

I hereby certify that the information provided in this application is true, complete, and accurate to the best of my knowledge. This information is submitted for the purpose of obtaining credit and is provided with the understanding that it will be relied upon in determining the amount and terms of credit to be extended. Furthermore, I authorize the financial institutions and trade references listed herein to release any information necessary to OSSIA Process Solutions to verify the information contained in this application and evaluate the applicant's creditworthiness.