FAST CREDIT APPLICATION

TERMS:

1. Print Out and mail or fax the following information concerning your bank and two trade references.
2. Fax: 210.564.0545 Mailing Address: 4003 Willow Green, San Antonio, TX 78217
3. Prepay or use C.O.D. by company check on FIRST order.
4. Subsequent orders 30 DAY NET with 2% discount on 10 day pay with $150 minimum order. Smaller orders must pre-pay.
5. VISA and MASTERCARD accepted on U.S. banks.

General Information
Legal Business Name	Trade Name (if different)
Address	City	State	Zip
Phone	Owner/President	Home Phone
Financial Information
Bank Name
Address	City	State	Zip
Phone	Contact
Trade References
Company #1 Name
Address	City	State	Zip
Phone	Contact
Company #2 Name
Address	City	State	Zip
Phone	Contact
SIGNATURE OF PREPARER
________________________________________ Name		________________ Date
Select "File >> Print" to print this form.

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