You may use this convenient online credit application form to submit request for the extension of credit terms with Liquid Environmental Solution. The is a secured site and any information provided will be held strictly confidential by our credit department.

Click here if you would like to download a copy of this form. Please complete and return the form back to us by fax: 619-330-2285 or e-mail:


  • General Information

  • Please enter your 9 digit number without hypens or dashes.

  • Principals or Officers

  • Bank Reference

  • Trade References

  • First Business Reference
  • Second Business Reference
  • Third Business Reference
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  • Terms and Conditions

    Liquid Environmental Solutions is hereby authorized to inquire and receive any and all information about our banking relationships, trade references and credit information. A photocopy or facsimile copy of this authorization shall be valid as an original thereof. The undersigned, being principal director of the aforesaid business, individually, jointly and severally guarantee the payment of any and all future obligations of said business which may be owing to Liquid Environmental Solutions upon demand, including reasonable attorney's fees and all costs, among other expenses, incurred by Liquid Environmental Solutions in collecting indebtedness of the aforesaid business. In the event of a default in payment, we authorize Liquid Environmental Solutions to charge the maximum rate of interest allowed by law. This is a continuing guarantee and may be revoked only in writing by delivery to Liquid Environmental Solutions, at 7651 Esters Blvd Ste 200 Irving, TX 75063, via certified mail, but such revocation will be effective only as to transactions entered into after Liquid Environmental Solutions' receipt of the notice of revocation. Client agrees that venue for any suit arising out of this agreement shall be, in addition to any place allowed by law, Dallas County, Texas. Should it be necessary for us to employ an attorney or collection agency to remedy breach of this agreement to collect any amount due. Client agrees to pay our reasonable attorney's fees, collection costs and expenses. A photocopy or facsimile copy of this completed account application is admissible to prove existence of the original. Payment terms for Liquid Environmental Solutions and its affiliated companies are Net 20.

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