Open a Bank Account Llc - Excel by unm12984


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									                                                                CREDIT APPLICATION
Cottonsmith LLC                                                                                                                 Ph.: (323) 584-8802
4700 S Boyle Ave.                                                                                                             Fax.: (323) 584-8828
Vernon, CA 90058                                                                                            

      Business Name
            Address:                                                                                                    Unit/Suite #

                 City:                                                             State:                                  Zip Code:

        Telephone #:                                                                                     Fax #:

 Year Established                              Business Type:        Sole Owner (        ) Partnership (        )     Corp.(      )

Principal Officers, Owners or Partners:

              Name:                                                            Position:

              Name:                                                            Position:
              Name:                                                            Position:
      Bank & Branch:                                                        Account #::

      Bank Address:
        Telephone #:                                                                  Bank Account Name:

Credit References

1.,        Company                                                                                     Contact


              Phone:                                                                 Fax:

2.,        Company                                                                                     Contact

              Phone:                                                                 Fax:

3.,        Company                                                                                     Contact


              Phone:                                                                 Fax:

I/We make this application for Cottonsmith LLC to open a credit account. I/We certify that all information given in this application is correct and complete.
I/We authorize and consent to verification of all information as required for the sole purpose of opening a credit account. I/We agree that if our company
is approved for credit I/We agree to the terms and conditions of account payments including all credit service charges on overdue account balances as
detailed in the packing slips, price and terms and conditions of sale may vary from time to time.

        Customer's Signature:                                                                                                   Date:

           Customer's Name:                                                                                                     Date:

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