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NEW ACCOUNT/APPLICATION FOR CREDIT

 
  * : required fields.  
  CUSTOMER INFO:
NAME  *  PHONE #  * 
ADDRESS 1  *  FAX #  * 
ADDRESS 2   FED ID #  * 
CITY/STATE/ZIP  *  D&B #  
CEO/PRESIDENT      
 
 
TYPE OF BUSINESS    HOW LONG IN BUSINESS   
 
 
TAXABLE? *    Yes   No  
 
  (If not taxable in the state of Ohio, an Ohio tax form must be on file. A form will be faxed to you to fill out.)  
  BANKING INFORMATION
NAME *   CONTACT *  
ADDRESS *   PHONE # *  
 
  TRADE/SUPPLIER REFERENCES
  SUPPLIER NAME   ADDRESS   PHONE #   CONTACT
1) *      
2) *      
3)       
4)       
 
  ALL INFORMATION WILL BE HELD IN STRICT CONFIDENCE.  
  ANY CREDIT GRANTED IS TO BE PAID WITHIN TERMS AND IN THE EVENT OF DEFAULT, CUSTOMER IS TO PAY REASONABLE COLLECTIONS CHARGES AND/OR ATTORNEY FEES.  
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