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Advanced Calibration Label
1131 Palomino Rd.
Cloverdale, CA 95425 USA
Phone: 707-894-7555
Fax: 707-894-0215
email: info@calibrationlabel.com
www.calibrationlabel.com

Credit Application
For Internal Use Only.  Private and Confidential.

Business Information:

Name of Business: ___________________________________________________

Legal Name (if different) ___________________________________________________

Address: ___________________________________________________

City: ___________________________________________________

State/Province: _________________________ Zip/Postal Code: _________________

Phone: _________________________ Fax: ________________________

In Business Since _________________________

Business Structure: __ Corporation __ Partnership __ Proprietorship

Company Principals responsible for business transactions

Name: _______________________________________ Title: _______________________

Name: _______________________________________ Title: _______________________

Bank Reference

Name of Bank: _____________________________________

Address: _____________________________________

Phone Number: _____________________________________

Account Number: _____________________________________

Contact Name: _____________________________________

Trade References

Firm Name: ___________________________________________________________________

Contact: _____________________________________ Phone: _________________

Firm Name: ___________________________________________________________________

Contact: _____________________________________ Phone: _________________

Firm Name: ___________________________________________________________________

Contact: _____________________________________ Phone: _________________

 

CONFIRMATION OF INFORMATION ACCURACY AND RELEASE OF AUTHORITY
I hereby certify that the information in this credit application is correct. The information included in this credit application is for the use by Advanced Calibration Label in determining the amount and conditions of credit extended. Further I hereby authorize the bank and trade references listed in this credit application to release the information necessary to assist Advanced Calibration Label in establishing a line of credit.

Signature
Name and Title (Please Print)

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