1.) Download a credit application and fax to us at 281-469-9728 or mail to:

     STVA Scaffold
     Attention: Credit Department
     P.O. Box 690725
     Houston, TX 77269-0725

2.) Apply online through our secure site below which uses 128bit encryption for security.

Credit Application and Agreement All field marked with * are required
A.) Applicant
* Legal Business Name (List all trad name, DBA, divisions and/or subsidiaries)

* Street Address
* City
* State		* Zip

* Mailing Address
* City
* State		* Zip

* Phone Number
Fax
* Email

* Shipping Address
* City
* State		* Zip


* Estimated Annual Sales
* Accounts Payable Contact
* Credit Requested
* Type of business
* Years in business

B.) Company Information
* Type of entity
* Partner		* SS#
Partner		SS#
Federal Tax ID# (If applicable)
* Sales Tax Exemption Certificate (If "YES", attach a signed certificate or copy)	Yes No

C.) Banking Information
* Bank Name		* Branch
* Address
* City
* State		* Zip
* Officer Contact		* Phone
* Account Number		* Type of Acct.
Account Number		Type of Acct.

	I hereby authorize the bank named above to release information requested for the purpose of obtaining and/or reviewing credit.

	By placing your name in the box below, you have read and agree to the above terms.
* Full Name

D.) Trade References (List 3 references)
* Trade Reference #1 Name
* Address
* City
* State		* Zip
* Contact Person
* Phone #


* Trade Reference #2 Name
* Address
* City
* State		* Zip
* Contact Person
* Phone #


* Trade Reference #3 Name
* Address
* City
* State		* Zip
* Contact Person
* Phone #


	The preceding information is for the purpose of obtaining credit and is warranted to be true. I/We authorize STVA Scaffold to investigate all references and customary credit information sources including consumer credit reporting repositories regarding my/our credit and financial responsibility for the purpose of obtaining credit and for periodic review for the purpose of maintaining the credit relationship. CREDIT POLICY: Statements are rendered as of the first day of each month. C.O.D. restrictions may be placed on any past due account. CREDIT TERMS: All invoices are due from the date of invoice per assigned credit terms. VENUE: All amounts due for purchases from STVA Scaffold are payable to: P.O. Box 690725, Houston, Texas 77269-0725. LATE FEES/COLLECTIONS COST: STVA Scaffold reserves the right to charge 1.5% interest per month on past due amounts and collect actual costs of collection, court costs, including attorney’s fees whether or not litigated or prosecuted to final judgment. CHANGE OF OWNERSHIP: I/We understand that we must notify STVA Scaffold, in writing and by certified mail, of any change in ownership, the name of the business or structure of the business under which credit has been established. In the event of default, and if this account is turned over to an agency and/or and attorney for collection, the undersigned agrees to pay all reasonable attorney fees, and/or court costs whether or not a suit is filed. I/We certify that this request is for the extension of credit for business purposes only and not for the extension of credit for personal, family or household purposes. APPLICANTS SIGNATURE ATTESTS FINANCIAL RESPONSIBILITY, ABILITY AND WILLINGNESS TO PAY IN ACCORDANCE WITH THE ABOVE TERMS:

* Company Name
* By		* Title
By		Title

	CONSENT TO OBTAIN CONSUMER CREDIT REPORT
	The undersigned individual, who is either a principal of the credit applicant, or a sole proprietorship of the credit applicant, consents to and authorizes the use of a consumer credit report on the business applying for credit, from time to time as may be needed, in the credit evaluation process.

* Full Name		* Title

Personal Guarantee
	For valuable consideration, the receipt of which is acknowledged, including but not limited to the extension of credit by STVA Scaffold to the undersigned, individually, jointly and severally, unconditionally guarantee(s) to STVA Scaffold the full and prompt payment by , of all obligations which Guarantor presently or hereafter may have to STVA Scaffold and payment when due of all sums presently or hereafter owing by Guarantor to STVA Scaffold. Guarantor agrees to indemnify STVA Scaffold against any losses STVA Scaffold may sustain and expenses STVA Scaffold may incur as a result of any failure of Guarantor to perform including reasonable attorney’s fees and all costs and other expenses incurred in collecting or compromising any indebtedness of debtor guaranteed hereunder or in enforcing this guaranty against guarantor. This shall be a continuing Guaranty, Diligence, Demand, Protest or notice of any kind is waived. It shall remain in full force until guarantor delivers to STVA Scaffold written notice revoking it as to indebtedness incurred subsequent to such delivery. Such delivery shall not affect any of guarantors obligations hereunder with respect to indebtedness heretofore incurred. The undersigned personal guarantor, recognizing that his or her individual credit history may be a necessary factor in the evaluation of this personal guarantee, hereby consents to and authorizes the use of a consumer credit report on the undersigned, by the above named business credit grantor, from time to time as may be needed, in the credit evaluation process.

Full Name		Title

Required Additional Information
The following information is needed by the STVA Scaffold Credit Department

* 1.) Is there a parent company?	Yes No

2.) If yes, please provide all the following:
a. Complete Legal Name
b. Physical Address
c. Mailing Address
d. Telephone Number		Fax
e. President's Name

* 3.) Where will checks be issued from?
a. Company Name
b. Physical Address
c. Telephone Number		Fax
d. Contact Person

* Do you want the credit report run on the division or parent company?	Division Parent Company

	Thank you for your cooperation; we look forward to developing and maintaining a long-lasting business relationship! STVA Scaffold

Mailing address
PO Box 690725, Houston, TX 77269

Shipping address
12423 Huffmeister Rd., Cypress, TX 77429

Scaffolding

STVA delivers the best quality S-Style Scaffolds, W-Style Scaffolds, G-Style Scaffolds, B-J Style Scaffolds, 10K Shoring, 25k Shoring, 50k Shoring, Tubes & Clamps, Coupling Pins, Pins & Clips, Brackets & Hoists, Cross Braces, Bases, Jacks & Casters, Ladders & Brackets, Planks & Decking, Guard Rails & Gates, Tubes & Clamps, Coupling Pins, Pins & Clips, Base Plates & U-Heads, Cross Braces, Jacks & Screws, Post Shores & Guard Rail Stanchions, Veneer Jacks, Mortar Stands, A-Frames, Multi-Function Platforms.