Trinity Products Account Application

Account Application

*If you already have an account with Trinity and do not know your username and password, please call 760-744-6930 to obtain your sign-in information. Please be prepared to verify account information.

*If you are not an existing Trinity customer and would like to become one, please fill out the following information and fax to 760-744-6931 or email the completed form to This e-mail address is being protected from spambots. You need JavaScript enabled to view it and someone will contact you with further information. This form can be printed using the print icon in the upper right corner.

COMPANY________________________________________________________________ DATE __________________________

MAILING ADDRESS ___________________________________________________________________________      PHONE (         ) _______________________

SHIPPING ADDRESS ___________________________________________________________________________    FAX (   ) __________________________

CITY _______________________________________     STATE ___________    ZIP ____________________

E-MAIL ADDRESS ____________________________________________________________        D-U-N-S # _________________________________________

COMPANY OFFICERS/OWNERS

Corporation €   Partnership €    Proprietorship €       FED ID # _________________________________________

--------------------------------------------

NAME ______________________________________________       TITLE ________________________________       SOC SEC # ______________________________

RESIDENTIAL ADDRESS ________________________________________________________________________       DRIVERS LICENSE # ________________________

CITY ________________________________      STATE ____________     ZIP_____________________     HOME PHONE (       ) _____________________________

NAME ____________________________________        TITLE _________________________________     SOC SEC # ______________________________

RESIDENTIAL ADDRESS ________________________________________________________________________     DRIVERS LICENSE # ________________________

CITY ________________________________     STATE ____________     ZIP ____________________       HOME PHONE (         ) _____________________________

# OF YEARS IN BUSINESS ____________      YEARS AT PRESENT ADDRESS _____________        ANNUAL SALES $_______________________

PLEASE ATTACH CURRENT FINANCIAL STATEMENT

TRADE REFERENCES

NAME __________________________________________________              PHONE (        ) __________________________________________

ACCOUNT # ____________________________________________            FAX (       ) __________________________________________

NAME __________________________________________________              PHONE (          ) __________________________________________

ACCOUNT # ____________________________________________                  FAX (        ) __________________________________________

BANK REFERENCE

BANK NAME ____________________________________________             ACCOUNT # ____________________________________________

ADDRESS __________________________________________________________________________________        PHONE (   )____________________________________

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