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Quality, Performance, and Convenience at an affordable price!
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Advanced Calibration Label
LLC 2035 Contractors Rd. Ste 7 Sedona, AZ 86336 email: info@calibrationlabel.com www.calibrationlabel.com Credit Application Business Information: 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
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