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American Micro Inc. Business Credit Application

Business Credit Application

Company Information
Company Name
Tax ID#
Years in Business
Dun & Bradstreet#
Nature of Business
Business in Commercial Building
Home
Years at Current Address
Number of Employees
Annual Sales Volume

Billing/Mailing Address

City,State,Zip

Phone#

Fax#

Company Type
Corporation
Proprietorship
Partnership

Principals
Name and Title
 Social Security Number
Address
Name and Title
 Social Security Number
Address

Credit References
Name,Address,Phone
 Contact & Terms
Name,Address,Phone
 Contact & Terms
Name,Address,Phone
 Contact & Terms

Bank Information
Bank Name
 Contact
Address
 Phone Number
Account#
 Years this Account

Authorized Purchaser(s)
Name & Position
Name & Position

Terms Requested
COD Company Check
Net Terms