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Business Credit Application |
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Wednesday, 13 July 2005 |
BUSINESS CREDIT APPLICATION
Business Name
_
Date _
Address
_
City
_
State _ Zip _
Owner/Manager
_
Tel.No. _
How long in business
_
D & B Rated _
Trade References:
Name
_
Address _
Name
_
Address _
Name
_
Address _
Name
_
Address _
Bank References:
Name
_
Address _
Name
_
Address _
Credit line requested $_
Pending lawsuits against Company:
_
The undersigned authorizes inquiry as to credit
information. We further acknowledge that credit privileges, if
granted, may be withdrawn at any time.
_________________________________
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