STANDARD GUARANTEE APPLICATION/SERVICE AGREEMENTStandard Guarantee Application/Service Agreement • December 17th, 2008 • California
REGISTERED DBA: (“YOUR STORE”) AND/OR: LEGAL NAME: FEDERAL TAX ID#: BUSINESS STREET ADDRESS: BUSINESS TELEPHONE: CITY: STATE: ZIP: EMAIL ADDRESS: OWNER: DRIVER’S LICENSE#: CONTACT NAME: FAX NUMBER: CURRENT MONTHLY CHECK SALES: $ TOTAL MONTHLY CHECK LOSSES: $ AVERAGE CHECK SALE: $ AVERAGE RETURNED CHECK: $ EQUIPMENT TYPE: PRODUCTS OR SERVICES OF APPLICANT: NUMBER OF LOCATIONS APPLIED FOR: CURRENT CHECK SERVICE: CURRENT RATE:
