Credit Application

USA & Global Customers

Fill out the information below and submit.

  • Bank Name
  • Company Name
  • Applicant certifies that all information contained herein is true and correct. Applicant grants permission to Clark-Reliance Corporation to obtain independent credit reports and other information from its references and bank; and authorizes the credit references to release information to Clark-Reliance that may be used to determine credit worthiness. Applicant agrees to pay all costs of collection, including actual out-of-pocket expenses and collection fee of eighteen percent (18%), if collected through a collection agency or attorney. This credit agreement will be governed by the laws of the State of Ohio. The undersigned applicant states that I am authorized to execute this agreement on behalf of the applicant.