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 We further acknowledge that credit privileges, if granted, may be withdrawn at any time.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