Credit Application by D5D29A5

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									                                                                                              1150 Shore Road
                                                                                              Naperville, IL 60004
                                                                                              Ph: 630-544-3520
                                                                                              Fax: 630-544-3521
                                             Credit Application
                      ** We will not set up any account until the first order is received. **
                     Fax completed application with (or after) first order to 630-544-3521.
Name of Business / Company

Address

City                                                        State                             Zip

Phone                                                       Fax

Email


I hereby apply for credit in accordance with:      Sportco  1150 Shore Road  Naperville, IL 60563
Check one:  New Customer                  Current Customer
Check one:  Corporation                   Individual                        Partnership
Month / Year Business Began

Owner

Accounts Payable Manager

Bank Name, Location & Phone

Bank Financial Advisor / Officer


References
1)      Company Name:                                               Account # :
        Phone:                                                      Fax:

2)      Company Name:                                               Account # :
        Phone:                                                      Fax:

3)      Company Name:                                               Account # :
        Phone:                                                      Fax:

4)      Company Name:                                               Account # :
        Phone:                                                      Fax:
                                                               st
 Apply for NET 30 terms               Use credit card for 1 order only               Use credit card for each order

Credit Card #:                                                 Exp Date :
Name on Card:                                                  Sec Code:
I represent that the above information is true and authorize all trade references, banks, and credit reporting agencies to
disclose credit related information to Sportco. In addition, I authorize that all service charges for this information be
waived.


Signed                                                              Print Name


Title                                                               Date

								
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