APPLICATION:
____________________________________________________________________
STREET ADDRESS:
________________________________________________________________
PHONE: ________________________
_______________________ _____________________
CITY: ________________________________ STATE:__________________ ZIP:
______________
TYPE OF
BUSINESS:
STARTED:
_____________________________________________________
_________________________
OFFICERS OR PRINCIPALS:
NAME
HOME
ADDRESS
PHONE
___________________________
_________________________________ _________________
ACCTS. PAYABLE
MGR:
TAX EXEMPT NO:
__________________________________________________________
____________________
ESTIMATED MONTHLY
VOLUME:
_________________________________________________ P.O. REQ? YES_____ NO_____
BANK REFERENCES: PHONE:
_____________________________________________________
_________________________
_____________________________________________________
_________________________
_____________________________________________________
_________________________
_____________________________________________________
_________________________
APPLICANT
CERTIFIES THAT ALL THE STATEMENTS & INFORMATION CONTAINED IN THIS
APPLICATION AND AGREEMENT ARE TRUE, COMPLETE AND CORRECT AND ARE REPRESENTATION
MADE TO BE RELIED ON BY MCCAULEY LUMBER CO. APPLICANT AUTHORIZES MCCAULEY LUMBER
TO MAKE WHATEVER CREDIT INQUIRES IT MAY REQUIRE CONCERNING THIS APPLICANT FOR
CREDIT. I UNDERSTAND AND AGREE TO ALL OF THE TERMS, POLICIES, AND CONDITIONS OF
THIS APPLICATION AND I REPRESENT THAT I AM THE UNDERSIGNED SEVERALLY AND
UNCONDITIONALLY GUARANTEE THE FULL AND PUNCTUAL PAYMENT WHEN DUE OF ALL
INDEBTEDNESS.
SIGNATURE: ______________________________________________
DATE:
_______________
TITLE: ______________________________________________________
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