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CREDIT ACCOUNT APPLICATION

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Account Interest is:
COMPANY NAME:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE: FAX: EMAIL:
TYPE OF LAMINATE DISTRIBUTED:
DO YOU BUY YOUR LAMINATE DIRECT FROM A MAJOR LAMINATE MANUFACTURER?
IF YES, WHICH LOCATION? PHONE:
BUSINESS TYPE:
DATE OF INCORPORATION: D & B #:
PRESIDENT: PHONE EXT.:
SECRETARY/TREASURER: PHONE EXT.:
ACCTS. PAYABLE MGR.: PHONE EXT.:
BANK REFERENCE:
ADDRESS:
CITY: STATE: ZIP CODE:
COMMERCIAL ACCOUNT CONTACT:
PHONE: FAX:
 
TRADE REFERENCE #1:
ADDRESS:
CITY: STATE: ZIP CODE:
 
TRADE REFERENCE #2:
ADDRESS:
CITY: STATE: ZIP CODE:
 
TRADE REFERENCE #3:
ADDRESS:
CITY: STATE: ZIP CODE:
 
THE ABOVE INFORMATION IS FURNISHED FOR THE PURPOSE OF OPENING AN ACCOUNT AND IS TO BE KEPT IN THE STRICTEST CONFIDENCE.