BUSINESS CREDIT APPLICATION
Corporate Name __________________________________Date______________
Address______________________City__________State_________Zip_____
Owner/Manager_______________________________Tel.No.______________
How long is 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 We further acknowledge that credit privileges, if granted, may be withdrawn at any point of time.
_______________________________
Business Credit Application Form
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