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Text File  |  1991-01-10  |  928b  |  37 lines
  1.                      BUSINESS CREDIT APPLICATION
  2.  
  3.  
  4.  
  5.  
  6. Business Name _                                 Date _
  7. Address _                                                 
  8. City _                 State _     Zip _
  9. Owner/Manager _                             Tel.No. _
  10. How long in business _                      D & B Rated _
  11. Trade References:
  12. Name _                              Address _
  13. Name _                              Address _
  14. Name _                              Address _
  15. Name _                              Address _
  16. Bank References:
  17. Name _                              Address _
  18. Name _                              Address _
  19. Credit line requested $_
  20. Pending lawsuits against Company:
  21.  
  22.  
  23. _
  24.  
  25.  
  26.      The undersigned authorizes inquiry as to credit
  27. information. We further acknowledge that credit privileges, if
  28. granted, may be withdrawn at any time.
  29.  
  30.  
  31.  
  32.  
  33.  
  34.  
  35. _________________________________
  36.  
  37.