CREDIT APPLICATION AND AGREEMENT FOR CREDIT SALESCredit Application and Agreement for Credit Sales • September 18th, 2009
Contract Type FiledSeptember 18th, 2009APPLICATE: BUSINESS OR CORPORATION NAME1. APPLICATION DATE BUSINESS STREET ADDRESS2. BILLING ADDRESS: STREET OR P.O. BOX CITY3. STATE ZIP CODE CITY STATE ZIP CODE BUSINESS TELEPHONE NO. 4. FAX NO. YEAR BUSINESS WAS ESTABLISHED NUMBER OF EMPLOYEES WE ARE ENGAGED IN THE BUSINESS OF: 5. MONTHLY STATEMENT YESNO TYPE OF BUSINESS PARTNERSHIP SOLE PROPRIETOR CORPORATION CONTRACTOR’S LICENSE NO. / STATE ISSUE 6. A/P CONTACT NAME FAX NUMBER ( BUSINESS BUILDING IS OWNED RENTED