ĢӰ

New Customer Credit Application

Credit Application And Agreement

(Address, City, State, Zip)
(Address, City, State, Zip)
Type of business
(Major Shareholders, Directors, and Officers)

Credit References (Must List Three)

(Address, City, State, Zip)
(Address, City, State, Zip)
(Address, City, State, Zip)

Bank Reference

(Cannot process without account number and signature)

(Address, City, State, Zip)
Dun & Bradstreet

1. The above information is true and is given for the purpose of obtaining an open credit line with ĢӰ, Inc

2. I agree to abide by the payment terms to be established by ĢӰ

3. I understand that no return merchandise will be accepted unless authorized in advance in writing

Type your name to sign the application

Thank you for your cooperation.

Please call us if you have any additional questions or comments