PV Racking CREDIT APPLICATION ID121051 by 490Z1n

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									        APPLICATION for DISTRIBUTION PROGRAM
Full Legal Name:

Name of Parent Company, subsidiary or division:

Type of Business:

Billing Address:

Shipping Address:

Phone #:            Fax #:

Estimated Annual Sales:

Number of Employees:

Name/Title of Principal:

Name of CFO/Controller:

Accounts Payable Contact Name:

Accounts Payable Email:

Bank Name & Contact Information:

TRADE REFERENCES: Please provide name, address, email and phone number
of specific contact.
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