Business Credit Application Form

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 We further acknowledge that credit privileges, if granted, may be withdrawn at any point of time.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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