ContractCredit Application and Security Agreement • July 28th, 2016
Contract Type FiledJuly 28th, 2016Advanced Ornamentals, Inc. 19172 French Prairie Rd NE; PO Box 519 St. Paul, Oregon 97137 Phone: 503.633.2833 sales@advancedornamentals.com Fax: 503.633.4058 www.advancedornamentals.com CREDIT APPLICATION AND SECURITY AGREEMENT Complete account information section for Prepay or COD terms. Complete ENTIRE form to request Net 30 terms. Signa ture required on back of form. Sales Representative: Date: ACCOUNT INFORMATION Account Name: Business Type: Legal Name (if different): Billing Address: FederalID#: Shipping Address: City: State Zip Code Phone No.: Fax No.: Email address for order acknowledgements/confirmations: Email address for order acknowledgements/confirmations: Website: PR INCIPAL OWNERS OR STOCKHOLDERS Name: Title: Address City: State: ZipCode: Social Security Number: DOB: Name: Title: Address City: State: ZipCode: Social Security Number: D