Make Payment Plan

*This form must be fully completed prior to submission.

File Number*

  -   example: 0123456789-789.

First Name or Company Name *

 

Middle Initial 

 

Last Name*

Date (mm/dd/yy)*

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Street Address*

City or Town*

   State*

 

Zip*

 

E-Mail Address  

  1. Commercial Trade, Inc. must approve all proposed payment plans.

  2. Payments must be received every 30 days.

  3. Payment plans must not exceed 12 months.

  4. First payment must be received within 30 days of today's date.

  5. Payments should be of equal or relatively equal amounts.

  6. All payment plans must be approved and acknowledged. Please make certain you complete the can be reached fields on this form.

  7. You must specify the method in which payment will be transmitted.

Thank you.

I would like to set up the following payment plan terms. Payment will be delivered by check, credit card, money order, etc., please enter your choice here*  .
I understand that this plan must be confirmed before it is deemed valid. I can be reached by telephone during the day @ phone # or in the evening @ phone # .

Payment No.

  Amount

Due Date

Payment no. 1 $
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Payment no. 2 $
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Payment no. 3 $
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Payment no. 4 $
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Payment no. 5 $
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Payment no. 6 $
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Payment no. 7 $
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Payment no. 8 $
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Payment no. 9 $
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Payment no. 10 $
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Payment no. 11 $
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Payment no. 12 $
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