X hits on this document

Word document

Baton Security Products11521 Salinaz Drive, Garden Grove, CA 92843Telephone: (877) 228 6699 Fax: ... - page 1 / 4

9 views

0 shares

0 downloads

0 comments

1 / 4

Baton Security Products11521 Salinaz Drive, Garden Grove, CA 92843Telephone: (877) 228 6699   Fax: (866) 228 6699

   Dated:______/_______/______

Application for Credit (Credit Limit Desired $_________________)

Firm’s Full Legal Name: __________________________________________________________________________________

Billing Add:__________________________________        Shipping Add:__________________________________

City:_________________ State: ____ Zip: _________        City: ______________________ State ____Zip________

Tel: (_______)________-_______________ ex______       Tel: (________)_________-______________ex_______

Fax:(_______)________-_______________                       Fax:(________)_________-______________

State Resale Number: ________________________________Federal Tax ID: ______-_______________________

Type of Business: _______________________________ Estimated Monthly Purchases $_____________________

Date Business Started ____________Date Present Ownership_____________ Date Incorporated _______________

Personal Information on Proprietor(s), Partner(s), Officer(s) or Stockholder(s):

      Please Check One:   Proprietorship        Partnership Corporation Non-Profit

Name: __________________________________________ Title: ___________________________ Owns______%

   Social Security #_______ ______ ____________   Home Phone (________)________-_______________

   Home Add ____________________________________________ City _______________ST ____Zip _________

Name: __________________________________________ Title: ___________________________ Owns______%

   Social Security #_______ ______ ____________   Home Phone (________)________-_______________

   Home Add ____________________________________________ City _______________ST ____Zip _________

Name: __________________________________________ Title: ___________________________ Owns______%

   Social Security #_______ ______ ____________   Home Phone (________)________-________________

   Home Add ____________________________________________ City _______________ST ____Zip _________

Trade References -

Company:  _________________________________________________Contact Name_______________________

  St. Add: _____________________________________________ Tel: (________)_________-_________________

  City: _________________________ST: _____ Zip: ___________ Fax:(________)_________-________________

Company:  _________________________________________________Contact Name_______________________

  St. Add: _____________________________________________ Tel: (________)_________-_________________

  City: _________________________ST: _____ Zip: ___________ Fax:(________)_________-________________

Company:  _________________________________________________Contact Name_______________________

  St. Add: _____________________________________________ Tel: (________)_________-_________________

  City: _________________________ST: _____ Zip: ___________ Fax:(________)_________-________________

Page 1 of 3

Document info
Document views9
Page views9
Page last viewedThu Dec 08 22:02:08 UTC 2016
Pages4
Paragraphs132
Words1281

Comments