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BUSINESS CREDIT APPLICATION

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  Business Name__________________________________Date______________

  Address______________________City__________State_________Zip_____

  Owner/Manager_______________________________Tel.No.______________

  How long in business________________________D & B Rated__________

  Trade References:

  Name_______________________________Address_______________________

  Name_______________________________Address_______________________

  Name_______________________________Address_______________________

  Name_______________________________Address_______________________

  Bank References:

  Name_______________________________Address_______________________

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 We further acknowledge that credit privileges, if granted, may be withdrawn at any time.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