Customer Information

Company Name

Address

City, State, Zip

 

Billing Address

City, State, Zip

 

Phone

Fax

Business

 Corporation  Partnership  Proprietorship

Owners/Officers

Owners/Officers

Business Type

Year Established

Bank Reference

Bank Name

Address

City, State, Zip

 

Phone

Fax

Account Rep.

Trade Reference 1

Name

Contact

Address

City, State, Zip

 

Phone

Fax

Trade Reference 2

Name

Contact

Address

City, State, Zip

 

Phone

Fax

ArtCraft et al. abides by the current ECOA laws which are administered by the FTC.  We promote the availability of credit to all credit-worthy applicants with out regards to race, color, religion, natural orgin, sex, martial status, or age (provided the applicant has the capacity to enter into a binding contract.

Upon submitial the authorization is granted for above references and bank to disclose information for purposes of credit evaluation.

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