Downloadable Invoices - Excel by omk16493

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									                                                                                                                      Capitol Welders Supply Co., Inc.
                                                                                                                      P.O. Box 53304
                                                                                                                      1101 Choctaw Dr.
                                                                                                                      Baton Rouge, La. 70892-3304
                                                Credit Application                                                    Phone: (225) 383-3717
                                                                                                                      Fax: (225) 383-9243

                                     No Account Will Be Opened Unless The Guarantee Is Signed!

Date:                                                                                   Social Security Number:
Account Name:                                                                           Fed ID. Number:
Mailing Address:                                                                        Shipping Address:
City, State, Zip:                                                                       City, State, Zip:
Telephone No: (                  )                                                      Date Of Birth:
Fax Number: (                )

Type Of Business:            Corporation:                  Partnership:               Indvidual:
                                                                                  Sales Tax Information
Date Business Started:                                     City:
Accounts Payable Contact:                                  State:
Purchasing Agent:                                          Are P.O. Numbers Required?                     Yes            No
Name Of Banking Institutions:
Bank City, State, Zip.

                                                              Credit References
                                                                     Accounting Department Use Only!
1. Creditor:                                                         Pay History:
  Address:                                                           How Long:
  City, State, Zip:                                                  Recent High:
  Telephone:                                                         Past Due:

                                                                         Accounting Department Use Only!
2. Creditor:                                                             Pay History:
  Address:                                                               How Long:
  City, State, Zip:                                                      Recent High:
  Telephone:                                                             Past Due:

                                                                         Accounting Department Use Only!
3. Creditor:                                                             Pay History:
  Address:                                                               How Long:
  City, State, Zip:                                                      Recent High:
  Telephone:                                                             Past Due:

In Consideration of any credit I (we, or either of us) will individually and/or jointly guarantee full and prompt payment at maturity
of all invoices that CAPITOL WELDERS SUPPLY CO., INC. renders for parts or service work; and such guarantee shall
remain in force until it's revocation is acknowledged in writing. Guarantor also agrees to pay all costs as well as all attorney fees
should the indebtedness have to be collected by outside sources.
Guarantor's Name (Print) :                                               Application Approved By:
Guarantor's Signature :                                                  Credit Limit:
TO WHOM IT MAY CONCERN:

AIRCO GAS & GEAR INC. HAS MY PERMISSION TO OBTAIN ANY INFORMATION
REQUIRED TO OPEN AN ACCOUNT WITH THEM. THIS ALSO MAY INCLUDE OBTAINING
A CREDIT BUREAU REPORT SHOULD THE NEED ARISE.


I UNDERSTAND THAT ALL INFORMATION RECEIVED FROM YOU WILL BE HELD IN
STRICT CONFIDENCE.



SINCERELY:
OBTAINING

								
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