New Customer Credit Reference Form
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PLEASE COMPLETE ALL INFORMATION
Credit References (Please list two.)
By signing this application, the credit applicant agrees to Net/30 day terms from date of invoice and therefore agrees to pay all invoices within 30 days of invoice date. First time payment is due prior to first order being shipped.
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AUTHORIZATION FOR RELEASE OF FINANCIAL INFORMATION
I authorize the release of information from the above noted financial institutions. Any information obtained shall be held in strict confidence and used only for the purpose of credit approval.
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