Business Credit Application

BUSINESS CREDIT APPLICATION

 

Corporate Name _ Date _

Address _

City _ State _ Zip _

Owner/Manager _ Tel.No. _

How long in business _ D & B Rated _

Trade References:

Name 1_ Address _

Name 2_ Address _

Name 3_ Address _

Name 4_ Address _

Bank References:

Name 1_ Address _

Name 2_ 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 We further acknowledge that credit privileges, if granted, may be withdrawn at any time.

_________________________________

 Business Credit Application

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